BEUDAMED
    FDA Adverse Event Other Summary report: N

    SST BRAND TUBES

    MDR report key: 281260 · Received June 7, 2000

    Report

    Report Number
    1024879-2000-00016
    Event Type
    Other
    Date Received
    June 7, 2000
    Date of Event
    May 23, 2000
    Report Date
    June 7, 2000
    Manufacturer
    BECTON DICKINSON AND COMPANY
    Product Code
    JKA
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    AFTER DRAWING BLOOD FROM A PT'S CANNULA, PHLEBOTOMIST WAS FILLING A TUBE BY SYRINGE. THE PHLEBOTOMIST CLAIMS THE NEEDLE WOULD NOT COME OUT AND PULLED HARDER ON THE SYRINGE TO REMOVE THE NEEDLE FROM THE STOPPER. AT THAT TIME, THE PHLEBOTOMIST CLAIMS THAT THEY WERE STUCK BY THE SYRINGE NEEDLE AS IT WAS REMOVED FROM THE TUBE STOPPER. NO SAMPLES AVAILABLE FOR ANALYSIS. LOT NUMBER UNKNOWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SST BRAND TUBES SST TUBE JKA BECTON DICKINSON AND COMPANY NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other