BEUDAMED
    FDA Adverse Event Other Summary report: N

    IN-ROOM SHARPSTAR SHARPS DISPOSAL CONTAINER

    MDR report key: 55318 · Received September 25, 1996

    Report

    Report Number
    1419181-1996-00049
    Event Type
    Other
    Date Received
    September 25, 1996
    Date of Event
    July 27, 1996
    Manufacturer
    SAGE PRODUCTS, INC.
    Product Code
    MMK
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REPORTERS DESCRIPTION OF EVENT GIVEN VIA TELEPHONE ON 8/26/96 AND DURING ONSITE VISIT ON 9/10/96 RELAYED EVENT AS FOLLOWS: RN PLACED SUBCUTANEOUS NEEDLE/SYRINGE USED FOR A HEPARIN INJECTION INTO LID/DOOR AND "FLIPPED THE LID/DOOR", REPORTEDLY SOMEHOW THE SUBCUTANEOUS NEEDLE/SYRINGE TUMBLED OUT AND THE RN RECEIVED A NEEDLESTICK. ADD'L INFO RELAYED BY EMPLOYEE HEALTH NURSE TO MFR REP ON 8/27/96 DESCRIBED THE FOLLOWING DETAILS OF THE EVENT: THE RN DID NOT PLACE THE NEEDLE/SYRINGE COMPLETELY INTO THE OPENING OF THE DISPOSAL CONTAINER. WHEN SHE LIFTED THE DOOR FOR DISPOSAL THE PORTION OUTSIDE THE DOOR DID NOT ALLOW THE NEEDLE TO DROP DOWN AND IN SOME FASHION, SHE SUBSEQUENTLY RECEIVED A NEEDLESTICK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 IN-ROOM SHARPSTAR SHARPS DISPOSAL CONTAINER SHARPS DISPOSAL CONTAINER MMK SAGE PRODUCTS, INC. 8509 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO