FDA Adverse Event Malfunction Summary report: N

BD SAFETY-LOK

MDR report key: 20343409 · Received October 1, 2024

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Report

Report Number
20343409
Event Type
Malfunction
Date Received
October 1, 2024
Date of Event
June 27, 2024
Report Date
June 28, 2024
Manufacturer
BECTON, DICKINSON AND COMPANY
Product Code
FMI
Product Problem
Yes
Report Source
User Facility report
Reporter Location
MI
Reporter Occupation
003

Narratives

Description of Event or Problem · 0

GAVE A HIB SHOT TO 2-MONTH-OLD. WHEN PULLING THE NEEDLE OUT OF THE LEFT THIGH, THE SYRINGE AND THE PLASTIC BASE OF THE NEEDLE CAME UP IN MY HAND, BUT THE METAL NEEDLE STAYED IN HIS THIGH. PULLED THE METAL NEEDLE OUT WITH MY GLOVED HAND.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1916070 BD SAFETY-LOK NEEDLE, HYPODERMIC, SINGLE LUMEN FMI BECTON, DICKINSON AND COMPANY 305901 4075988

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown