BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MEDLINE NEEDLE,30GX0.5"REG,BEVEL

    MDR report key: 17660871 · Received August 31, 2023

    Report

    Report Number
    17660871
    Event Type
    Malfunction
    Date Received
    August 31, 2023
    Date of Event
    June 27, 2023
    Report Date
    July 10, 2023
    Manufacturer
    MEDLINE INDUSTRIES, INC.
    Product Code
    FMF
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI
    Reporter Occupation
    RISK MANAGER
    Health Professional
    N

    Narratives

    Description of Event or Problem · 0

    PLEASE NOTE THERE WAS A NEEDLE STICK INCIDENT WITH ONE OF THE PROVIDERS, FAMILY NURSE PRACTITIONER (FNP). AS REPORTED: FNP WAS PERFORMING BOTOX, AND WHEN SHE WAS DONE USING THE NEEDLE, SHE WENT TO RE-CAP IT. UPON RECAPPING, THE NEEDLE BENT AND THEN POKED THROUGH THE CAP. WHEN SHE WENT TO PICK UP THE NEEDLE, SHE THEN POKED HER FINGER WITH THE NEEDLE END THAT WAS EXPOSED OUTSIDE THE CAP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1182354 MEDLINE NEEDLE,30GX0.5"REG,BEVEL SYRINGE, PISTON FMF MEDLINE INDUSTRIES, INC. SYR100302 220922

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown Other