BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BD VACUTAINER SAFETYLOCK BLOOD COLLECTION SET

    MDR report key: 4071277 · Received September 5, 2014

    Report

    Report Number
    2243072-2014-00183
    Event Type
    Injury
    Date Received
    September 5, 2014
    Date of Event
    August 7, 2014
    Report Date
    September 5, 2014
    Manufacturer
    BECTON DICKINSON
    Product Code
    JKA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    THERE ARE NO SAMPLES OR PHOTOS TO INVESTIGATE. IF SAMPLES ARE RETURNED, AN INVESTIGATION WILL BE MADE AND A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

    Description of Event or Problem · 1

    CUSTOMER EXPERIENCED A NEEDLE STICK INJURY WHICH WAS REPORTED TO BE DUE TO INAPPROPRIATE HANDLING. DEVICE USED WAS A BD VACUTAINER SAFETY LOK WING COLLECTION SET. THE SOURCE PT WAS (B)(6). TO DATE, IT IS UNK IF THE CUSTOMER RECEIVED ANY MEDICAL INTERVENTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    544192 BD VACUTAINER SAFETYLOCK BLOOD COLLECTION SET BLOOD COLLECTION SET JKA BECTON DICKINSON 3G2311

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Other