BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDLINE SAFESLIDE BLOOD COLLECTION SET

    MDR report key: 17424906 · Received July 28, 2023

    Report

    Report Number
    MW5120352
    Event Type
    Injury
    Date Received
    July 28, 2023
    Date of Event
    July 21, 2023
    Report Date
    July 26, 2023
    Manufacturer
    MEDLINE INDUSTRIES, LP - NORTHFIELD
    Product Code
    LRO
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    NURSE
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    THERE WAS A HOLE IN THE TUBING THAT RESULTED IN BLOOD LEAKING OUT OF THE TUBING AND ONTO THE PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1158585 MEDLINE SAFESLIDE BLOOD COLLECTION SET GENERAL SURGERY TRAY LRO MEDLINE INDUSTRIES, LP - NORTHFIELD 31822100002

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR Male Required Intervention