BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NIPRO SAFETOUCH TULIP SAFETYAVF NEEDLE

    MDR report key: 7289013 · Received February 22, 2018

    Report

    Report Number
    8041145-2018-00009
    Event Type
    Injury
    Date Received
    February 22, 2018
    Report Date
    March 8, 2018
    Manufacturer
    NIPRO (THAILAND) CORP., LTD.
    Product Code
    MPB
    PMA / PMN Number
    K071145
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    HEALTH PROFESSIONAL

    Narratives

    Description of Event or Problem · 0

    THE FACILITY ADMINISTRATOR TOLD THEIR NIPRO CLINICAL SPECIALIST THAT THEY HAD 2 NEEDLESTICK INJURIES LAST YEAR (2017). ADDITIONAL INFORMATION WAS REQUESTED ON 1/26/2018, 2/1/2018, 2/15/2018 AND 2/20/2018 BY PHONE AND/OR EMAIL, HOWEVER NO INFORMATION WAS PROVIDED.

    Description of Event or Problem · 1

    THE FACILITY ADMINISTRATOR TOLD THEIR NIPRO CLINICAL SPECIALIST THAT THEY HAD 2 NEEDLESTICK INJURIES LAST YEAR (2017). ADDITIONAL INFORMATION WAS REQUESTED ON 1/26/2018, 2/1/2018, 2/15/2018 AND 2/20/2018 BY PHONE AND/OR EMAIL, HOWEVER NO INFORMATION WAS PROVIDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    132135 NIPRO SAFETOUCH TULIP SAFETYAVF NEEDLE SAFETY AVF NEEDLE MPB NIPRO (THAILAND) CORP., LTD. FT+152530TP UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 Other