BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VANISH POINT INSULIN SYRINGE

    MDR report key: 1594113 · Received January 29, 2010

    Report

    Report Number
    MW5014609
    Event Type
    Malfunction
    Date Received
    January 29, 2010
    Date of Event
    November 24, 2009
    Report Date
    January 29, 2010
    Manufacturer
    RETRACTABLE TECHNOLOGIES, INC
    Product Code
    MEG
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    VANISH POINT INSULIN SYRINGE FROM RETRACTABLE TECHNOLOGIES, INC LOT F090305 DID NOT RETRACT, RESULTING IN A NEEDLE STICK TO THE NURSE. PT WAS TESTED FOR (B) (6) AND WAS NEGATIVE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VANISH POINT INSULIN SYRINGE SAFETY SYRINGE MEG RETRACTABLE TECHNOLOGIES, INC F090305

    Patients

    Seq Age Sex Outcome Treatment
    1 30 YR Other