BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MW5060579

    MDR report key: 5466507 · Received February 24, 2016

    Report

    Report Number
    MW5060579
    Event Type
    Malfunction
    Date Received
    February 24, 2016
    Date of Event
    January 18, 2016
    Report Date
    February 24, 2016
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    A 20G INSYTE AUTOGUARD LOT #5191833- THE NEEDLE DID NOT AUTO RETRACT AFTER BUTTON WAS PRESSED. BUTTON REMAINED DEPRESSED, BUT NEEDLE REMAINED OUT. PT WAS NOT HARMED. THE NEEDLE WAS REMOVED.

    Patients

    Seq Age Sex Outcome Treatment
    1 52 YR