BEUDAMED
    FDA Adverse Event Other Summary report: N

    INS SAP SYR 1CC 29X1/2IN

    MDR report key: 498881 · Received December 3, 2003

    Report

    Report Number
    1915484-2003-00011
    Event Type
    Other
    Date Received
    December 3, 2003
    Date of Event
    November 19, 2003
    Report Date
    December 2, 2003
    Manufacturer
    TYCO HEALTHCARE/KENDALL
    Product Code
    MEG
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    A NURSE HAD SUSTAINED A CONTAMINATED NEEDLESTICK. IT WAS STATED THAT THE NURSE WAS GIVING PATIENT AN INJECTION; AS THEY WERE PULLING THE SAFETY SHIELD IT DID NOT SNAP INTO PLACE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INS SAP SYR 1CC 29X1/2IN INSULIN SAFETY SYRINGE MEG TYCO HEALTHCARE/KENDALL * 314103

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other