FDA Adverse Event
Other
Summary report: N
SST BRAND HEMOGARD GOLD 6ML 13X100 TUBE
MDR report key: 208703
·
Received February 3, 1999
Report
- Report Number
- 1024879-1999-00003
- Event Type
- Other
- Date Received
- February 3, 1999
- Date of Event
- November 23, 1998
- Report Date
- February 3, 1999
- Manufacturer
- BECTON DICKINSON VACUTAINER SYS.
- Product Code
- JKA
- Removal / Correction Number
- NA
- Report Source
- Manufacturer report
- Reporter Location
- KS
- Reporter Occupation
- UNKNOWN
Narratives
Description of Event or Problem · 1
WHEN TECH WAS OPENING TUBE, BROKEN RIM OF TUBE CUT HER LEFT THUMB REQUIRING STITCHES. BLOOD SAMPLE WAS NOT INFECTIOUS FOR HUMAN IMMUNODEFICIENCY VIRUS AND HEPATITIS B VIRUS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SST BRAND HEMOGARD GOLD 6ML 13X100 TUBE | SST TUBES | JKA | BECTON DICKINSON VACUTAINER SYS. | NA | 8D353 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |