FDA Adverse Event Other Summary report: N

MICROLET LANCET

MDR report key: 648975 · Received December 1, 2005

Report

Report Number
1826988-2005-00078
Event Type
Other
Date Received
December 1, 2005
Date of Event
November 8, 2005
Report Date
November 9, 2005
Manufacturer
BAYER HEALTHCARE, LLC
Product Code
FMK
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

AT BLOOD COLLECTION FROM PT'S EARLOBE, THE NEEDLE PIERCED THROUGH THE PT'S EARLOBE AND PUNCTURED THE NURSE'S FINGER. AFTER FURTHER INVESTIGATION IT WAS NOTED THAT THE NEEDLE WAS PROTRUDING TOO FAR OUT OF THE LANCET BODY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MICROLET LANCET LANCET, BLOOD FMK BAYER HEALTHCARE, LLC 6545P J16G5

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other