BEUDAMED
    FDA Adverse Event Other Summary report: N

    ACD-A YELLOW 8.5ML 16X100, VACUTAINER BRAND ACD-A TUBE

    MDR report key: 285972 · Received July 17, 2000

    Report

    Report Number
    1917413-2000-00017
    Event Type
    Other
    Date Received
    July 17, 2000
    Date of Event
    July 7, 2000
    Report Date
    July 17, 2000
    Manufacturer
    BECTON DICKINSON AND CO
    Product Code
    JKA
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report
    Reporter Location
    FR
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    TUBE BROKE DURING CENTRIFUGATION. A NURSE CUT FINGER WHILE TRYING TO PULL GLASS PIECES OFF THE CENTRIFUGE WELLS. INCIDENT WAS REPORTED TO OCCUPATIONAL MEDICINE AND MINISTRY OF HEALTH. NURSE WILL RECEIVE ANTI-VIRAL TREATMENT FOR ONE MONTH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ACD-A YELLOW 8.5ML 16X100, VACUTAINER BRAND ACD-A TUBE ACD TUBE JKA BECTON DICKINSON AND CO NA 9K159

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other