MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1994-06-06 for PIPET UNKNOWN manufactured by Kimble Glass, Inc..
[17078]
Technician using pipet and it broke and went into her hand.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1483039-1994-00015 |
| MDR Report Key | 22713 |
| Date Received | 1994-06-06 |
| Date of Report | 1994-05-31 |
| Date Facility Aware | 1994-05-05 |
| Report Date | 1994-05-31 |
| Date Reported to FDA | 1994-05-31 |
| Date Reported to Mfgr | 1994-05-31 |
| Date Added to Maude | 1995-06-22 |
| Event Key | 0 |
| Report Source Code | Distributor report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | PIPET |
| Generic Name | PIPET |
| Product Code | GJG |
| Date Received | 1994-06-06 |
| Model Number | NA |
| Catalog Number | UNKNOWN |
| Lot Number | UNKNOWN |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Age | UNKNOWN |
| Implant Flag | N |
| Date Removed | B |
| Device Sequence No | 1 |
| Device Event Key | 22906 |
| Manufacturer | KIMBLE GLASS, INC. |
| Manufacturer Address | 537 CRYSTAL AVENUE VINELAND NJ 08360 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 1994-06-06 |