BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BD PRECISIONGLIDE NEEDLE

    MDR report key: 2061202 · Received April 11, 2011

    Report

    Report Number
    1911916-2011-00004
    Event Type
    Injury
    Date Received
    April 11, 2011
    Date of Event
    March 11, 2011
    Report Date
    April 11, 2011
    Manufacturer
    BECTON DICKINSON
    Product Code
    FMI
    PMA / PMN Number
    PRE-AMEND
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    NEEDLE CANNULA BROKE OFF IN PT. AS NEEDLE COULD NOT BE SEEN, REQUIRED INCISION TO LOCATE AND REMOVE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BD PRECISIONGLIDE NEEDLE 25G X 1 1/2" NON-STERILE HYPODERMIC NEEDLE FMI BECTON DICKINSON NA 0007843

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention