BEUDAMED
    FDA Adverse Event Injury Summary report: N

    29 GA PEN NEEDLE

    MDR report key: 515293 · Received March 10, 2004

    Report

    Report Number
    1920898-2004-00008
    Event Type
    Injury
    Date Received
    March 10, 2004
    Date of Event
    January 30, 2004
    Report Date
    March 9, 2004
    Manufacturer
    BECTON DICKINSON
    Product Code
    FMI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    CONSUMER REPORTS GOING TO THE HOSP FOR A NEEDLE BREAKOFF IN THE ABDOMEN. SURGICAL REMOVAL WAS REQUIRED AND PERFORMED IN 02/2004.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 29 GA PEN NEEDLE NEEDLE, SINGLE LUMEN, HYPODERMIC FMI BECTON DICKINSON NA 0165466

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention