BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BAYER, INC.

    MDR report key: 137911 · Received December 11, 1997

    Report

    Report Number
    137911
    Event Type
    Injury
    Date Received
    December 11, 1997
    Date of Event
    October 28, 1997
    Report Date
    December 10, 1997
    Manufacturer
    BAYER CORP
    Product Code
    FMK
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MD, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    AFTER PERFORMING A FINGERSTICK FOR PATIENT, WHILE ATTEMPTING TO REMOVE THE LANCET FROM THE "GUN", THE PIN IN THE LANCET WAS PROTRUDING (DID NOT RETRACT) FROM THE SURFACE OF THE LANCET AND PRICKED THE 2ND FINGER OF THE RIGHT HAND DRAWING A SINGLE DROP OF BLOOD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BAYER, INC. FINGERSTIX LANCET FMK BAYER CORP 5965 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 29 YR Required Intervention