BEUDAMED
    FDA Adverse Event Other Summary report: N

    13X100MM, 6ML, RED/GRAYCONVENTIONAL SST TUBE

    MDR report key: 288588 · Received August 3, 2000

    Report

    Report Number
    1024879-2000-00018
    Event Type
    Other
    Date Received
    August 3, 2000
    Date of Event
    July 28, 2000
    Report Date
    August 3, 2000
    Manufacturer
    BECTON DICKINSON AND COMPANY
    Product Code
    JKA
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    WHEN REMOVING THE RUBBER STOPPER AFTER CENTRIFUGATION, A PORTION OF GLASS BROKE CAUSING AN INCH LACERATION ON TOP OF THE LEFT THUMB OF THE TECHNICIAN. BASELINE TESTING WAS DONE. HIV AND HEPATITIS TESTING WAS PERFORMED ON PT AND TECHNICIAN RESULTS WERE NEGATIVE FOR BOTH. TECHNICIAN WAS TREATED WITH STITCHES. TECHNICIAN WAS UP TO DATE ON HEPATITIS VACCINATION AND GAMMA GLOBULIN WAS NOT ADMINISTERED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 13X100MM, 6ML, RED/GRAYCONVENTIONAL SST TUBE SST TUBE JKA BECTON DICKINSON AND COMPANY NA 9M900

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other