BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MPL 30G SHORT NEEDLE

    MDR report key: 411645 · Received August 14, 2002

    Report

    Report Number
    1412902-2002-00036
    Event Type
    Malfunction
    Date Received
    August 14, 2002
    Report Date
    August 13, 2002
    Manufacturer
    MPL TECHNOLOGIES
    Product Code
    FMI
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    NEEDLE BROKE DURING INJECTION AND HAD TO BE REMOVED SURGICALLY FROM THE PATIENT'S MUCOSA.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MPL 30G SHORT NEEDLE NEEDLE FMI MPL TECHNOLOGIES NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 * Hospitalization