FDA Adverse Event
Other
Summary report: N
SST BRAND TUBE
MDR report key: 244876
·
Received October 12, 1999
Report
- Report Number
- 1024879-1999-00020
- Event Type
- Other
- Date Received
- October 12, 1999
- Date of Event
- September 13, 1999
- Report Date
- October 11, 1999
- Manufacturer
- BECTON DICKINSON & CO.
- Product Code
- JKA
- Removal / Correction Number
- NA
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
TOP OF TUBE BROKE WHEN RE-INSERTING STOPPER BACK INTO BLOOD COLLECTION TUBE, CAUSING TECH. TO CUT HER FINGER WHICH REQUIRED (2) STITCHES. BASELINE TESTING AND HIV COCKTAIL GIVEN AS PER FACILITY POLICY. SOURCE BLOOD TESTED POSITIVE FOR HBD.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SST BRAND TUBE | SST TUBE | JKA | BECTON DICKINSON & CO. | NA | 9C901 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |