VACUTAINER SAFETY LOCK 367297

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1998-12-18 for VACUTAINER SAFETY LOCK 367297 manufactured by Becton Dickinson & Co..

Event Text Entries

[153863] After drawing pt's blood paramedic attempted to close safety lock device over needle. He met with extreme resistance and entire buterfly twisted in his hand resulting in a needle stick.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1015258
MDR Report Key202635
Date Received1998-12-18
Date of Report1998-12-18
Date of Event1998-08-03
Date Added to Maude1998-12-22
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPARAMEDIC
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameVACUTAINER SAFETY LOCK
Generic NameBLOOD COLLECTION DEVICE
Product CodeKST
Date Received1998-12-18
Model NumberNA
Catalog Number367297
Lot NumberUNK
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key196835
ManufacturerBECTON DICKINSON & CO.
Manufacturer AddressONE BECTON DR. FRANKLIN LAKES NJ 074171880 US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 1998-12-18

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