BEUDAMED
    FDA Adverse Event Other Summary report: N

    INSYTE AUTOGUARD SHIELDED IV CATHETER

    MDR report key: 479984 · Received August 22, 2003

    Report

    Report Number
    1710034-2003-00057
    Event Type
    Other
    Date Received
    August 22, 2003
    Date of Event
    July 16, 2003
    Report Date
    July 22, 2003
    Manufacturer
    BECTON DICKINSON INFUSION THERAPY SYSTEMS, INC.
    Product Code
    FOZ
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    20 GAUGE INSYTE AUTOGUARD USED AND NEEDLE FAILED TO RETRACT RESULTING IN A NEEDLE STICK INJURY TO THE CLINICIAN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INSYTE AUTOGUARD SHIELDED IV CATHETER INTRAVENOUS CATHETER FOZ BECTON DICKINSON INFUSION THERAPY SYSTEMS, INC. NA 3023245

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other