BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CONTROL SYRINGE

    MDR report key: 204897 · Received January 4, 1999

    Report

    Report Number
    204897
    Event Type
    Malfunction
    Date Received
    January 4, 1999
    Date of Event
    December 30, 1998
    Report Date
    December 30, 1998
    Manufacturer
    SHERWOOD MEDICAL/MONOJECT MERGED WITH KENDALL
    Product Code
    FMF
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    KY, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PHYSICIAN USING SYRINGE WITH NEEDLE ATTACHED IN THE OR. SYRINGE BROKE AND DR SUSTAINED NEEDLESTICK WITH CONTAMINATED NEEDLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CONTROL SYRINGE 12 CC SYRINGE FMF SHERWOOD MEDICAL/MONOJECT MERGED WITH KENDALL * 704103

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other