BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NEEDLE

    MDR report key: 26699 · Received August 28, 1995

    Report

    Report Number
    MW4000760
    Event Type
    Injury
    Date Received
    August 28, 1995
    Date of Event
    August 30, 1994
    Manufacturer
    SARSTEDT, INC.
    Product Code
    JKA
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MS, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    COMPLAINANT'S WIFE WAS ADMITTED TO MED CTR FOR PRETERM LABOR SYMPTOMS ON 8/30/94. DURING THE COURSE OF DRAWING BLOOD THE NEEDLE BROKE OFF IN HER ARM AND HAD TO BE REMOVED SURGICALLY. HE STATED THAT FROM COMMENTS HE HEARD FROM SOME OF THE NURSES, THIS HAD HAPPENED BEFORE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NEEDLE JKA SARSTEDT, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 * Hospitalization