BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HENRY SCHEIN 30G XSHORT METAL HUB NEEDLE

    MDR report key: 482038 · Received September 3, 2003

    Report

    Report Number
    1412902-2003-00116
    Event Type
    Malfunction
    Date Received
    September 3, 2003
    Date of Event
    May 19, 2003
    Report Date
    August 8, 2003
    Manufacturer
    DENTSPLY MPL
    Product Code
    DZM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    DC, US
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    ALLEGEDLY TOPS ARE POPPING OFF OF NEEDLES. ASSISTANT WAS STUCK AND BLEEDING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HENRY SCHEIN 30G XSHORT METAL HUB NEEDLE DENTAL NEEDLE DZM DENTSPLY MPL NA 6853

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other