FDA Adverse Event Malfunction Summary report: N

BEAVER-VISITEC INTERNATIONAL INC

MDR report key: 19235004 · Received May 2, 2024

Report

Report Number
1211998-2024-00010
Event Type
Malfunction
Date Received
May 2, 2024
Date of Event
August 4, 2024
Report Date
May 2, 2024
Manufacturer
BEAVER-VISITEC INTERNATIONAL INC
Product Code
HNN
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, CA
Reporter Occupation
RISK MANAGER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

CLARION HAS REPORTED THIS EVENT TO THE MANUFACTURER BVI. MEANWHILE CLARION IS ACTIVELY FOLLOWING UP WITH THE COMPLAINANT TO RECEIVE ANY UPDATES OR INFORMATION RELATED TO THIS EVENT. ADDITIONAL INFORMATION WILL BE PROVIDED UPON THE INVESTIGATION COMPLETION BY BVI.

Additional Manufacturer Narrative · 0

CLARION HAS REPORTED THIS EVENT TO THE MANUFACTURER BVI. MEANWHILE CLARION IS ACTIVELY FOLLOWING UP WITH THE COMPLAINANT TO RECEIVE ANY UPDATES OR INFORMATION RELATED TO THIS EVENT. ADDITIONAL INFORMATION WILL BE PROVIDED UPON THE INVESTIGATION COMPLETION BY BVI. NO SAMPLE WAS AVAILABLE OR PICTURES. THE LOT INVOLVED COULD NOT BE REVIEWED BECAUSE THE INFORMATION OF LOT NUMBER WAS NOT AVAILABLE. HOWEVER, ANOTHER LOT NUMBER 6067986 WITH THE SAME PART NUMBER 378227 - SLIT KNIFE 2.75MM ANGL SNGL BEV W/SAFETY (10/SP) WAS CHECKED AND NO SAFETY CAPS WERE FOUND IN THE OPEN POSITION. THE COMPLAINT WAS ACKNOWLEDGED BY CUSTOMER INFORMATION AND ADDED TO BVI RECORDS.

Description of Event or Problem · 0

ON APRIL 10 2024, CLARION WAS INFORMED BY THE CUSTOMER THAT FEW NURSES GOT INJURED WITH THE CUTS ON THEIR FINGERS WHILE OPENING THE PACKAGE OF THE SAFETY KNIFE. SEVERAL KNIVES WERE NOTED TO HAVE THEIR SAFETY CAPS IN THE OPEN POSITION WITHIN THE PACKAGING, WHICH RESULTING IN A FEW CUTS TO NURSES FINGERS. INCIDENT HAPPENED IN CANADA AND WAS REPORTED TO HEALTH CANADA UNDER REPORT #(B)(4) ON 4/28/2024.

Description of Event or Problem · 0

ON APRIL 10 2024, CLARION WAS INFORMED BY THE CUSTOMER THAT FEW NURSES GOT INJURED WITH THE CUTS ON THEIR FINGERS WHILE OPENING THE PACKAGE OF THE SAFETY KNIFE. SEVERAL KNIVES WERE NOTED TO HAVE THEIR SAFETY CAPS IN THE OPEN POSITION WITHIN THE PACKAGING, WHICH RESULTING IN A FEW CUTS TO NURSES FINGERS. INCIDENT HAPPENED IN CANADA AND WAS REPORTED TO HEALTH CANADA UNDER REPORT # (B)(4) ON 4/228/2024.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
847093 BEAVER-VISITEC INTERNATIONAL INC BVI SLIT KNIFE 2.75MM ANGL SNGL BEV W/SAFETY (10/BX) HNN BEAVER-VISITEC INTERNATIONAL INC 378227 UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other