BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    INSULIN SYRINGES WITH THE BD ULTRA-FINE NEEDLE, 1ML, 8MM, 31G

    MDR report key: 1861375 · Received October 4, 2010

    Report

    Report Number
    MW5017690
    Event Type
    Malfunction
    Date Received
    October 4, 2010
    Date of Event
    September 14, 2010
    Report Date
    October 4, 2010
    Manufacturer
    BD
    Product Code
    FMI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    HI, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    PHARMACY EMPLOYEE WAS PACKAGING A MAIL ORDER PRESCRIPTION WHICH INCLUDED INSULIN SYRINGES AND RECEIVED A NEEDLE STICK WHILE ATTEMPTING TO BUBBLE WRAP THE PRODUCT. IT WAS DETERMINED THAT TWO -2- OF THE TEN -10- SYRINGES DID NOT HAVE THE PROTECTIVE CAP ON THE NEEDLE. BD INSULIN SYRINGE WITH ULTRA FINE NEEDLE, 8 MM, 31 GAUGE, 1 ML NDC# 08290-8418-01 LOT # 01725145. DATES OF USE: (B)(6)2010.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INSULIN SYRINGES WITH THE BD ULTRA-FINE NEEDLE, 1ML, 8MM, 31G INSULIN SYRINGE FMI BD 01725145

    Patients

    Seq Age Sex Outcome Treatment
    1