BEUDAMED
    FDA Adverse Event Other Summary report: N

    VANISH POINT SYRINGE

    MDR report key: 4504111 · Received February 5, 2015

    Report

    Report Number
    MW5040650
    Event Type
    Other
    Date Received
    February 5, 2015
    Date of Event
    January 14, 2015
    Report Date
    January 16, 2015
    Manufacturer
    RETRACTABLE TECHNOLOGIES, INC
    Product Code
    MEG
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    ADMINISTERING INJECTION, NEEDLE IN PATIENT'S GLUTEAL MUSCLE, SUDDENLY MEDICATION SQUIRTED OUT THROUGH SIDE OF THE SYRINGE. DIAGNOSIS OR REASON FOR USE: AGITATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    85613 VANISH POINT SYRINGE RETRACTABLE INJECTION NEEDLE MEG RETRACTABLE TECHNOLOGIES, INC 20 GAUGE, 1, 1/2" 3ML A131208

    Patients

    Seq Age Sex Outcome Treatment
    1