MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2014-12-17 for BD VACUTAINER PLASTIC URINE COLLECTION CUP 364975 manufactured by Bd.
[5220518]
It was reported that while holding a bd vacutainer plastic urine collection cup, a clinician's thumb accidentally pressed through the foil cover and was stuck by the needle used to penetrate the urine collection tube. The clinician received a tetanus shot and bacitracin was applied on the cut.
Patient Sequence No: 1, Text Type: D, B5
[12683269]
It is unknown is a sample is available for evaluation. If a sample is received, a supplemental report will be filed. Also, a review of the device history records could not be performed as a lot number for this incident was not provided. (b)(4).
Patient Sequence No: 1, Text Type: N, H10
Report Number | 2243072-2014-00301 |
MDR Report Key | 4356424 |
Report Source | 05,06 |
Date Received | 2014-12-17 |
Date of Report | 2014-12-17 |
Date Mfgr Received | 2014-12-03 |
Date Added to Maude | 2014-12-24 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 0 |
Event Location | 0 |
Manufacturer Contact | AARON LARSON |
Manufacturer Street | ONE BECTON DRIVE |
Manufacturer City | FRANKLIN LAKES NJ 07417 |
Manufacturer Country | US |
Manufacturer Postal | 07417 |
Manufacturer Phone | 8015652406 |
Manufacturer Street | 150 SOUTH 1ST ST. |
Manufacturer City | BROKEN BOW NE 68822 |
Manufacturer Country | US |
Manufacturer Postal Code | 68822 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | BD VACUTAINER PLASTIC URINE COLLECTION CUP |
Generic Name | URINE COLLECTION CUP |
Product Code | LIO |
Date Received | 2014-12-17 |
Catalog Number | 364975 |
Lot Number | UNK |
Operator | HEALTH PROFESSIONAL |
Device Eval'ed by Mfgr | N |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | BD |
Manufacturer Address | ONE BECTON DRIVE FRANKLIN LAKES NJ 07417 US 07417 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Required No Informationntervention | 2014-12-17 |