BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    6913744

    MDR report key: 6913744 · Received October 4, 2017

    Report

    Report Number
    6913744
    Event Type
    Malfunction
    Date Received
    October 4, 2017
    Date of Event
    August 28, 2017
    Report Date
    September 25, 2017
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PHLEBOTOMIST WAS DRAWING PATIENT'S BLOOD WHEN THE NEEDLE STARTED TO COME LOOSE FROM THE HOLDER. PHLEBOTOMIST MANAGED TO SCREW HOLDER BACK ONTO THE NEEDLE WITHOUT HARM TO PATIENT.

    Patients

    Seq Age Sex Outcome Treatment
    1 Other NO| NO OTHER THERAPIES