BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BD SAFETY-LOK BLOOD COLLECTION SET

    MDR report key: 3060293 · Received April 11, 2013

    Report

    Report Number
    2243072-2013-00024
    Event Type
    Injury
    Date Received
    April 11, 2013
    Date of Event
    February 6, 2013
    Report Date
    April 10, 2013
    Manufacturer
    BD
    Product Code
    JKA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    NO PRODUCT HAS BEEN RECEIVED TO DATE, IF PRODUCT IS RETURNED, ANALYSIS WILL BE CONDUCTED.

    Description of Event or Problem · 1

    ON (B)(6) 2013, THE REPORTER STATED THAT ON (B)(6) 2013, DURING USE OF A BUTTERFLY NEEDLE ON A PATIENT'S HAND, THE NEEDLE SLIPPED OUT AND LIGHTLY SCRATCHED THE RIGHT INDEX FINGER OF THE PERSON THAT WAS OBTAINING THE BLOOD. A SOFT POKE WAS FELT. RECEIVED ADDITIONAL INFORMATION VIA EMAIL FROM THE COUNTRY COORDINATOR ON (B)(6) 2013, THE PERSON WHO EXPERIENCED THE NEEDLE STICK, RECEIVED ANTI-RETROVIRAL TREATMENT FOR HEP C PREVENTION. NO FURTHER INFORMATION IS AVAILABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    154266 BD SAFETY-LOK BLOOD COLLECTION SET 23 GX 0.75 IN NEEDLE X 12 IN TUBING JKA BD 2272845

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention