BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SAFTYGLIDE HYPODERMIC NEEDLE 25 GAUGE 1"

    MDR report key: 17498928 · Received August 9, 2023

    Report

    Report Number
    MW5122873
    Event Type
    Malfunction
    Date Received
    August 9, 2023
    Date of Event
    August 2, 2023
    Report Date
    August 6, 2023
    Manufacturer
    BECTON DICKINSON AND COMPANY
    Product Code
    FMI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    SC, US
    Reporter Occupation
    RISK MANAGER
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    RN STOCKED NEEDLES IN IMMUNIZATION ROOM WITH NEW BOX/LOT. LPN RETRIEVED NEEDLES TO ADMINISTER VACCINES. WHEN PREPARING VACCINES FOR ADMINISTRATION, LPN NOTICED THAT THE NEEDLES WOULD NOT PRIME DUE TO OCCLUSION. LPN ALERTED CLINICAL COORDINATOR WHO REMOVED ALL AFFECTED NEEDLES FROM STOCK, ALERTED CLINICAL TEAM OF ISSUE AND TO BE AWARE OF OTHER POTENTIALLY AFFECTED NEEDLES. MCKESSON SAFETY HYPODERMIC NEEDLE GLIDE 25G X 1 IN LOT: 2153548, EXPIRATION: 5/31/2027. MCKESSON IRVING, TX 75039 US.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1049016 SAFTYGLIDE HYPODERMIC NEEDLE 25 GAUGE 1" NEEDLE, HYPODERMIC, SINGLE LUMEN FMI BECTON DICKINSON AND COMPANY 2153548

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown Other