MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-03-10 for BD - VACUTAINER PUSH BUTTON BLOOD COLLECTION SET manufactured by Becton Dickinson And Company.
[17204978]
On (b)(6) 2015, the phlebotomist use the bd vacutainer push button blood collection set (butterfly needle) (b)(4) - 23g x 3/4" x 12" for a patient. She did a veinpuncture and after difficulty on her first try, she noticed the needle to be bent at the tip like a hook. She replaced it with a new butterfly needle.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5041483 |
| MDR Report Key | 4611828 |
| Date Received | 2015-03-10 |
| Date of Report | 2015-03-10 |
| Date of Event | 2015-03-01 |
| Date Added to Maude | 2015-03-19 |
| Event Key | 0 |
| Report Source Code | Voluntary 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 | 0 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | BD - VACUTAINER PUSH BUTTON BLOOD COLLECTION SET |
| Generic Name | BD - VACUTAINER PUSH BUTTON BLOOD COLLECTION SET |
| Product Code | KST |
| Date Received | 2015-03-10 |
| Lot Number | #4247827 |
| ID Number | REF: 367342 |
| Device Expiration Date | 2016-08-01 |
| Operator | HEALTH PROFESSIONAL |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | BECTON DICKINSON AND COMPANY |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2015-03-10 |