FDA Adverse Event Injury Summary report: N

PFEIFFER GLASS - USA

MDR report key: 402854 · Received June 28, 2002

Report

Report Number
402854
Event Type
Injury
Date Received
June 28, 2002
Date of Event
June 26, 2002
Report Date
June 27, 2002
Manufacturer
UNK
Product Code
JQW
Adverse Event
Yes
Product Problem
Yes
Report Source
User Facility report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

LAB TECH WAS PUTTING PIPETER ON 3ML VOLUMETRIC PIPET WHEN PIPET BROKE CAUSING SEVERE LACERATION TO TECH'S LEFT HAND.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PFEIFFER GLASS - USA 3ML VOLUMETRIC PIPET JQW UNK * *

Patients

Seq Age Sex Outcome Treatment
1 31 YR Required Intervention