BEUDAMED
    FDA Adverse Event Other Summary report: N

    IN-ROOM SDC W/MAILBOX STYLE LID

    MDR report key: 229066 · Received June 23, 1999

    Report

    Report Number
    1419181-1999-00005
    Event Type
    Other
    Date Received
    June 23, 1999
    Date of Event
    April 29, 1999
    Report Date
    May 26, 1999
    Manufacturer
    SAGE PRODUCTS, INC.
    Product Code
    MMK
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    REPORTER DESCRIBED THE FOLLOWING: A NURSE HAD JUST COMPLETED ADMINISTERING AN IMMUNIZATION TO A HOSPITAL EMPLOYEE AND WAS IN THE PROCESS OF DISPOSING OF A NEEDLE/SYRINGE INTO A SHARPS DISPOSAL CONTAINER. ACCORDING TO THE REPORTER THE SHARPS DISPOSAL CONTAINER WAS LOCATED ON TOP OF A COUNTER, AND THE NURSE WAS HOLDING IT WITH HER LEFT HAND. WITH THE NEEDLE/SYRINGE IN HER RIGHT HAND, THE NURSE PULLED THE CONTAINER LEVER WITH HER RIGHT FIFTH FINGER. REPORTEDLY, AS THE LID DOOR OPENED A PREVIOUS UNDISPOSED NEEDLE/SYRINGE "CAME OUT" AND STUCK HER IN THE RIGHT SECOND FINGER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 IN-ROOM SDC W/MAILBOX STYLE LID SHARPS DISPOSAL CONTAINER MMK SAGE PRODUCTS, INC. 8502-1 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN