FDA Adverse Event
Injury
Summary report: N
VANISHPOINT SYRINGE
MDR report key: 7295846
·
Received February 23, 2018
Report
- Report Number
- MW5075497
- Event Type
- Injury
- Date Received
- February 23, 2018
- Date of Event
- February 22, 2018
- Report Date
- February 22, 2018
- Manufacturer
- RETRACTABLE TECHNOLOGIES, INC.
- Product Code
- MEG
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MD, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
PT USING VANISH POINT SYRINGE BY RETRACTABLE TECHNOLOGIES INC., LOT # A782A - NEEDLE BROKE OFF INTO LEFT DELTOID.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 137351 | VANISHPOINT SYRINGE | VANISHPOINT SYRINGE | MEG | RETRACTABLE TECHNOLOGIES, INC. | A782A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 67 YR | Required Intervention |