J TIP NEEDLE-FREE INJECTION SYSTEM WITH LUER ADAPTER

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-10-01 for J TIP NEEDLE-FREE INJECTION SYSTEM WITH LUER ADAPTER manufactured by National Medical Products, Inc..

Event Text Entries

[1470673] Nurse went to apply j-tip. States she applied j-tip appropriately and the lidocaine sprayed at least 12 inches and splashed her in both eyes. Nurse was seen in associate health department. No negative sequelae noted to date from splash injury.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5017751
MDR Report Key1876144
Date Received2010-10-01
Date of Report2010-10-01
Date of Event2010-09-20
Date Added to Maude2010-11-02
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameJ TIP NEEDLE-FREE INJECTION SYSTEM WITH LUER ADAPTER
Generic NameJ TIP
Product CodeKZE
Date Received2010-10-01
Lot Number1003001
Device Expiration Date2012-03-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Sequence No1
Device Event Key0
ManufacturerNATIONAL MEDICAL PRODUCTS, INC.
Manufacturer AddressIRVINE CA US


Patients

Patient NumberTreatmentOutcomeDate
10 2010-10-01

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