FDA Adverse Event
Malfunction
Summary report: N
1CC E-TB SYR 25X5/8
MDR report key: 417017
·
Received September 9, 2002
Report
- Report Number
- 1915484-2002-00015
- Event Type
- Malfunction
- Date Received
- September 9, 2002
- Date of Event
- August 16, 2002
- Report Date
- September 6, 2002
- Manufacturer
- TYCOHEALTHCARE/KENDALL
- Product Code
- FMF
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- VA, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
A CUSTOMER HAD SUSTAINED A CLEAN NEEDLESTICK. THE CUSTOMER STATED THAT AN EMPLOYEE WAS STUCK BY A NEEDLE THAT WAS STICKING OUT OF THE PACKAGING BECAUSE THERE WAS NO CAP ON THE NEEDLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 1CC E-TB SYR 25X5/8 | TB SYRINGE | FMF | TYCOHEALTHCARE/KENDALL | * | 131003 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * | Other |