BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    RELI SAFETY HYPODERMIC NEEDLE

    MDR report key: 20360238 · Received October 2, 2024

    Report

    Report Number
    MW5160473
    Event Type
    Malfunction
    Date Received
    October 2, 2024
    Date of Event
    September 25, 2024
    Report Date
    September 26, 2024
    Manufacturer
    RELI GEMTIER MEDICAL (SHANGHIA) INC./MYCO MEDICAL SUPPLIES, INC
    Product Code
    FMI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    *

    Narratives

    Description of Event or Problem · 0

    WHILE GIVING A VACCINE, UNABLE TO PUSH VACCINE INTO PATIENT. DUE TO ISSUE WITH THE NEEDLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2602395 RELI SAFETY HYPODERMIC NEEDLE NEEDLE, HYPODERMIC, SINGLE LUMEN FMI RELI GEMTIER MEDICAL (SHANGHIA) INC./MYCO MEDICAL SUPPLIES, INC SHN23G101 20220604

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Female