FDA Adverse Event Malfunction Summary report: N

MONOJECT SAFETY NDL 25 X 1

MDR report key: 18016562 · Received October 26, 2023

Report

Report Number
1282497-2023-10802
Event Type
Malfunction
Date Received
October 26, 2023
Date of Event
September 14, 2023
Report Date
January 25, 2024
Manufacturer
CARDINAL HEALTH
Product Code
FMI
UDI-DI
10884521544680
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IA, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

ADDED ADDITIONAL INFORMATION TO SECTION B5 AND UPDATED THE HEALTH EFFECT - IMPACT CODE.

Additional Manufacturer Narrative · 0

THIS REPORT WAS FILED IN ERROR. CARDINAL HEALTH IS NOT THE LEGAL MANUFACTURER OF THIS THIS DEVICE. THE LEGAL MANUFACTURER IS SOL MILLENNIUM MED INC. THE MANUFACTURER HAS BEEN NOTIFIED OF THE EVENT.

Additional Manufacturer Narrative · 0

CORRECTION MADE TO THE VERBIAGE IN SECTION B5.

Additional Manufacturer Narrative · 0

AN INVESTIGATION IS CURRENTLY UNDERWAY. UPON COMPLETION, THE RESULTS WILL BE FORWARDED.

Description of Event or Problem · 0

THE CUSTOMER REPORTED FAULTY SAFETY DEVICE (MULTIPLE NEEDLE STICKS). ADDITIONAL INFORMATION RECEIVED ON 06NOV2023 STATED THAT THEY CANNOT SAY AN EXACT NUMBER BUT THE PRODUCT WAS CHEAPLY MADE SO WHEN YOU WENT TO CLOSE THE SAFETY CLIP IT EITHER BENT THE NEEDLE OR THE CLIP DID NOT CLICK INTO PLACE LEAVING THE NEEDLE EXPOSED. THEY HAD TWO NEEDLE STICKS. BLOOD WORK WAS DONE ON THE PATIENT AND EMPLOYEE INVOLVED PER THEIR PROTOCOL.

Description of Event or Problem · 0

THE CUSTOMER REPORTED A FAULTY SAFETY DEVICE. ADDITIONAL INFORMATION RECEIVED ON 06NOV2023 STATED THAT WHEN YOU WENT TO CLOSE THE SAFETY CLIP IT EITHER BENT THE NEEDLE OR THE CLIP DID NOT CLICK INTO PLACE LEAVING THE NEEDLE EXPOSED RESULTING IN A NEEDLE STICK. BLOOD WORK WAS DONE ON THE PATIENT AND EMPLOYEE INVOLVED PER THEIR PROTOCOL.

Description of Event or Problem · 0

THE CUSTOMER REPORTED FAULTY SAFETY DEVICE (MULTIPLE NEEDLE STICKS).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1674898 MONOJECT SAFETY NDL 25 X 1 NEEDLE, HYPODERMIC, SINGLE LUMEN FMI CARDINAL HEALTH 1182510 02112003 10884521544680

Patients

Seq Age Sex Outcome Treatment
1 Unknown