FDA Adverse Event
Summary report: N
1CC STAFF SYR ETB 25X 5/8
MDR report key: 590722
·
Received April 8, 2005
Report
- Report Number
- 1915484-2005-00003
- Date Received
- April 8, 2005
- Report Date
- April 8, 2005
- Manufacturer
- TYCO/KENDALL HEALTHCARE
- Product Code
- MEG
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CT, US
- Reporter Occupation
- INVALID DATA
Narratives
Description of Event or Problem · 1
A CUSTOMER HAD A PROBLEM WITH THE 1CC SAF SYR ETB 25X5/8. THE CUSTOMER REPORTS "STAFF ATTEMPTED TO ACTIVATE THE SAFETY SHIELD AND THE SHIELD FELL OFF RESULTING IN A CONTAMINATED FINGER STICK."
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 1CC STAFF SYR ETB 25X 5/8 | NEEDLE AND SYRINGE | MEG | TYCO/KENDALL HEALTHCARE | 8881511235 | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN |