BEUDAMED
    FDA Adverse Event Other Summary report: N

    SIM'S PORTEX ABG SYRINGE, NEEDLE-PRO

    MDR report key: 389423 · Received April 19, 2002

    Report

    Report Number
    389423
    Event Type
    Other
    Date Received
    April 19, 2002
    Date of Event
    February 10, 2002
    Report Date
    April 4, 2002
    Manufacturer
    SIMS PORTEX, INC.
    Product Code
    GJE
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    OR, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    AFTER DRAWING ARTERIAL BLOOD GASES, NURSE ATTEMPTED TO COVER NEEDLE WITH THE NEEDLE PROTECTOR. INITIALLY THE PROTECTOR DID NOT ENGAGE-NURSE USED MORE FORCE AND THOUGHT PROTECTOR HAD ENGAGED. AS NURSE ATTEMPTED TO REMOVE THE NEEDLE, NEEDLE WAS NOT PROTECTED AND NURSE SUSTAINED NEEDLE STICK TO RIGHT MIDDLE FINGER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SIM'S PORTEX ABG SYRINGE, NEEDLE-PRO ABG SYRINGE GJE SIMS PORTEX, INC. * K101563 OR K101571

    Patients

    Seq Age Sex Outcome Treatment
    1 36 YR Other