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 |