BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BD SAFETYGLIDE

    MDR report key: 19905446 · Received August 5, 2024

    Report

    Report Number
    19905446
    Event Type
    Malfunction
    Date Received
    August 5, 2024
    Date of Event
    May 28, 2024
    Report Date
    May 29, 2024
    Manufacturer
    BECTON, DICKINSON AND COMPANY
    Product Code
    MEG
    UDI-DI
    00382903059454
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    IL
    Reporter Occupation
    RISK MANAGER
    Health Professional
    N

    Narratives

    Description of Event or Problem · 0

    BD SAFETYGLIDE 1ML SYRINGE 27G X 1/2 (0.4MM X13MM) WAS USED TO ADMINISTER HEPARIN SUBCUTANEOUSLY, AS ORDERED. WHEN GOING TO INJECT PATIENT WHILE USING THIS SYRINGE, PRIMARY REGISTERED NURSE (RN) NOTED THE NEEDLE RETRACTED INTO THE SYRINGE SOMEHOW UPON NEEDLE CONTACT WITH PATIENT. SYRINGE/NEEDLE IMMEDIATELY REMOVED FROM PATIENT. NEEDLE TIP EXAMINED, AND NO SIGNS OF ANYTHING BREAKING OFF. PATIENT WITHOUT ANY INJURY BUT HAD TO BE POKED AGAIN WITH A NEW SYRINGE/NEEDLE IN ORDER TO RECEIVE MEDICATION. REF: 305945, (B)(4), EXPIRATION: 2029-01-31, LOT NUMBER: 4005009B.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2028890 BD SAFETYGLIDE SYRINGE, ANTISTICK MEG BECTON, DICKINSON AND COMPANY 305945 4005009B 00382903059454

    Patients

    Seq Age Sex Outcome Treatment
    1 2 MO Female