BEUDAMED
    FDA Adverse Event Injury Summary report: N

    VANISHPOINT SYRINGE

    MDR report key: 1398186 · Received June 2, 2009

    Report

    Report Number
    MW5011281
    Event Type
    Injury
    Date Received
    June 2, 2009
    Date of Event
    June 1, 2009
    Report Date
    June 2, 2009
    Manufacturer
    RETRACTABLE TECHNOLOGIES, INC.
    Product Code
    MEG
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    INSULIN SYRINGE DID NOT RETRACT. STAFF MEMBER RECEIVED A NEEDLE STICK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VANISHPOINT SYRINGE INSULIN SYRINGE MEG RETRACTABLE TECHNOLOGIES, INC. 10211 F173A

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization