BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BD VACUTAINER GLASS SERUM TUBE

    MDR report key: 3833361 · Received May 14, 2014

    Report

    Report Number
    2243072-2014-00102
    Event Type
    Injury
    Date Received
    May 14, 2014
    Date of Event
    February 6, 2014
    Report Date
    May 13, 2014
    Manufacturer
    BD
    Product Code
    JKA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    TO DATE, NO SAMPLES HAVE BEEN RECEIVED AND A ROOT CAUSE FOR THIS INCIDENT HAS NOT BEEN IDENTIFIED. IF SAMPLES ARE RECEIVED AT A LATER DATE, A SUPPLEMENTAL REPORT WILL BE FILED UPON COMPLETION OF THE INVESTIGATION.

    Description of Event or Problem · 1

    WHILE RECAPPING THE STOPPER, THE LIP OF THE TUBE BROKE AND SLICED THE TECHNOLOGIST'S RIGHT PINKY FINGER. THE PIECE OF GLASS FROM THE TUBE PENETRATED THE GLOVE. THE PATIENT SPECIMEN WAS HIV POSITIVE. THE TECHNOLOGIST HAS BEEN RECEIVING ALL THE REQUIRED ANTI-VIRAL DRUGS ACCORDING TO HOSPITAL REQUIREMENTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    288192 BD VACUTAINER GLASS SERUM TUBE GLASS SERUM TUBE JKA BD 3032025

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Required Intervention