BEUDAMED
    FDA Adverse Event Injury Summary report: N

    1 CC 29 GA INSULIN SYRINGE

    MDR report key: 494349 · Received November 6, 2003

    Report

    Report Number
    1920898-2003-00023
    Event Type
    Injury
    Date Received
    November 6, 2003
    Date of Event
    October 6, 2003
    Report Date
    November 5, 2003
    Manufacturer
    BECTON DICKINSON
    Product Code
    FMF
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AR, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PHARMACY TECH REPORTS GETTING STUCK WITH A SYRINGE THAT WAS UNSHIELDED (CAP OFF IN THE BAG). TECH WENT TO THE DR FOR TREATMENT AND BLOOD WORK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 1 CC 29 GA INSULIN SYRINGE SYRINGE FMF BECTON DICKINSON NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention