FDA Adverse Event Injury Summary report: N

MICROLET2 LANCING DEVICE

MDR report key: 2032286 · Received March 23, 2011

Report

Report Number
1826988-2011-00157
Event Type
Injury
Date Received
March 23, 2011
Date of Event
February 1, 2011
Report Date
February 22, 2011
Manufacturer
BAYER HEALTHCARE, LLC
Product Code
NBW
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

LANCING DEVICES ARE NOT SERIALIZED OR ASSIGNED LOT NUMBERS, SO IT IS NOT POSSIBLE TO DETERMINE A MANUFACTURE DATE. LANCING DEVICES ARE ALSO NOT 510K CLEARED.

Description of Event or Problem · 1

A (B)(4) SALES REPRESENTATIVE CONTACTED CUSTOMER SERVICE. HE RECEIVED AN EMAIL FROM A NURSE WHO WAS USING A MICROLET2 LANCING DEVICE. THE NURSE RECEIVED A NEEDLESTICK WHILE TRYING TO REMOVE THE ENDCAP FROM THE DEVICE. A STUDENT TOOK THE DEVICE FROM THE NURSE AND ALSO RECEIVED A NEEDLESTICK BEFORE THE NURSE COULD GET THE DEVICE AWAY FROM HER. THE LANCET HAD BEEN USED. NO OTHER INFORMATION IS KNOWN AT THIS TIME. THE DEVICE IS NOT GOING TO BE RETURNED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MICROLET2 LANCING DEVICE NBW BAYER HEALTHCARE, LLC NOT PROVIDED NA

Patients

Seq Age Sex Outcome Treatment
1 UNK