BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    KENDALL

    MDR report key: 1823498 · Received August 27, 2010

    Report

    Report Number
    MW5017268
    Event Type
    Malfunction
    Date Received
    August 27, 2010
    Date of Event
    March 18, 2010
    Report Date
    August 27, 2010
    Manufacturer
    KENDALL - COVIDIEN
    Product Code
    FMI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OK, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    NURSE WAS STUCK BY A USED NEEDLE. IT WAS A KENDALL - COVIDIEN SAFETY SYRINGE AFTER BEING USED ON AN (B)(6) PT. THE PART THAT SLIDES DOWN OVER THE NEEDLE DID NOT LOCK INTO PLACE ALLOWING THE NEEDLE TO BE EXPOSED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KENDALL MONOJECT SAFETY SYRINGE FMI KENDALL - COVIDIEN 916606

    Patients

    Seq Age Sex Outcome Treatment
    1