BEUDAMED
    FDA Adverse Event Other Summary report: N

    IV INFUSION BUTTERFLY, 23GX3/4, 7 TUBING

    MDR report key: 300858 · Received October 16, 2000

    Report

    Report Number
    1024879-2000-00028
    Event Type
    Other
    Date Received
    October 16, 2000
    Date of Event
    September 19, 2000
    Report Date
    October 16, 2000
    Manufacturer
    BECTON DICKINSON AND COMPANY
    Product Code
    JKA
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    NURSE PERFORMED A VENIPUNCTURE, SHIELDED THE PRODUCT AND LAID IT IN THE TRAY. WHEN THE NURSE COMPLETED OTHER CHORES AND PICKED UP THESE PRODUCTS, A NEEDLE WAS EXPOSED AND NURSE WAS STUCK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 IV INFUSION BUTTERFLY, 23GX3/4, 7 TUBING SAF JKA BECTON DICKINSON AND COMPANY NA 0156717

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other