BEUDAMED
    FDA Adverse Event Other Summary report: N

    5ML, K3 EDTA, LAVENDER-HEMOGARD TUBE

    MDR report key: 297048 · Received September 21, 2000

    Report

    Report Number
    1917413-2000-00020
    Event Type
    Other
    Date Received
    September 21, 2000
    Date of Event
    August 30, 2000
    Report Date
    September 21, 2000
    Manufacturer
    BECTON DICKINSON & CO.
    Product Code
    JKA
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    TUBE WAS BEING FILLED VIA ROUTINE VENIPUNCTURE. WHEN TECH WENT TO REMOVE CAP TO RUN SAMPLE, TUBE BROKE AND CUT TECH ON LEFT THUMB. TECH WAS TESTED FOR BASELINE HIV AND HEPATITIS. BODY FLUIDS UNKNOWN AS BEING INFECTIOUS. REVIEW OF DATABASE INDICATES NO OTHER ISSUES WITH REGARD TO THIS PRODUCTION LOT NUMBER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 5ML, K3 EDTA, LAVENDER-HEMOGARD TUBE EDTA TUBE JKA BECTON DICKINSON & CO. NA 0101895

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other