BEUDAMED
    FDA Adverse Event Other Summary report: N

    PATTERSON DENTAL/MPL TECHNOLOGY

    MDR report key: 399401 · Received June 12, 2002

    Report

    Report Number
    MW1025308
    Event Type
    Other
    Date Received
    June 12, 2002
    Date of Event
    May 30, 2002
    Report Date
    June 4, 2002
    Manufacturer
    MPL TECHNOLOGY
    Product Code
    FMI
    Report Source
    Voluntary report
    Reporter Location
    MN, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    NEEDLE PROTRUDED THROUGH SIDE OF SHEATH FOLLOWING RECAPPING, WHILE CLEANING UP, ASSISTANT PUNCTURED HARD WITH EXPOSED NEEDLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PATTERSON DENTAL/MPL TECHNOLOGY 25 GA SHUNT NEEDLE (PLASTIC HUB) FMI MPL TECHNOLOGY H97825 *

    Patients

    Seq Age Sex Outcome Treatment
    1 38 YR Other