BEUDAMED
    FDA Adverse Event Summary report: N

    QUICK TAP PARACENTESIS TRAY

    MDR report key: 19566 · Received February 9, 1995

    Report

    Report Number
    MW1005073
    Date Received
    February 9, 1995
    Date of Event
    January 23, 1995
    Report Date
    January 23, 1995
    Manufacturer
    TRI-MED SPECIALTIES, INC.
    Product Code
    GAA
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    NEEDLE HUB BROKE OFF FOLLOWING PARACENTESIS AND ABSOLUTE ALCOHOL INJECTION. DOCTOR UNABLE TO WITHDRAW ABSOLUTE ALCOHOL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 QUICK TAP PARACENTESIS TRAY PARACENTESIS NEEDLE GAA TRI-MED SPECIALTIES, INC. 23731

    Patients

    Seq Age Sex Outcome Treatment
    1 79 YR