BEUDAMED
    FDA Adverse Event Other Summary report: N

    4.5ML, 13X75MM, LIGHT BLUE HEMOGARD CIT. TUBE

    MDR report key: 280837 · Received June 5, 2000

    Report

    Report Number
    1917413-2000-00014
    Event Type
    Other
    Date Received
    June 5, 2000
    Date of Event
    April 26, 2000
    Report Date
    June 5, 2000
    Manufacturer
    BECTON DICKINSON AND CO
    Product Code
    JKA
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    TUBE BROKE WHILE RECAPPING SPECIMEN AND TECH. WAS CUT. PT AND TECH. WERE TESTED FOR HIV, HBV AND HCV. RESULTS WERE NEGATIVE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 4.5ML, 13X75MM, LIGHT BLUE HEMOGARD CIT. TUBE CITRATE TUBE (CIT) JKA BECTON DICKINSON AND CO NA 9361987

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other