RADIOMETER SAFE PICO SELF FILLING ABG SYRINGE WITH SAFETY NEEDLE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-01-17 for RADIOMETER SAFE PICO SELF FILLING ABG SYRINGE WITH SAFETY NEEDLE manufactured by Radiometer America Inc.

Event Text Entries

[133829971] A condition c was called on the patient upon arrival the ccm ordered an abg. Upon receiving the kit and obtaining the abg, the ccm was unsure how to get the needle protector away from the needle and handed the syringe unprotected to me carefully, so that i could assist her. It was found that the needle protector that is supposed to slide easily up to cover the needle completely was not moving with even heavy pressure, and was not functioning as directed, the dirty needle was safely discarded in the red bin and we tried another kit to see if it was an isolated incident. The needle protector also wouldn? T slide on this needle as well. Information on the used needle was discarded prior to use, but the second needle that had the protector malfunction had the following information ref # 956-616 lot # bs-56 abd is a safepico self-fill abg needle.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5083231
MDR Report Key8261037
Date Received2019-01-17
Date of Report2019-01-15
Date of Event2019-01-14
Date Added to Maude2019-01-18
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 FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Sequence Number: 1

Brand NameRADIOMETER SAFE PICO SELF FILLING ABG SYRINGE WITH SAFETY NEEDLE
Generic NameARTERIAL BLOOD SAMPLING KIT
Product CodeCBT
Date Received2019-01-17
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerRADIOMETER AMERICA INC
Manufacturer AddressBREA CA 92821 US 92821

Device Sequence Number: 2

Brand NameRADIOMETER SAFE PICO SELF FILLING ABG SYRINGE WITH SAFETY NEEDLE
Generic NameARTERIAL BLOOD SAMPLING KIT
Product CodeCBT
Date Received2019-01-17
Catalog Number956-616
Lot NumberBS-56
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No2
Device Event Key0
ManufacturerRADIOMETER AMERICA INC
Manufacturer AddressBREA CA 92821 US 92821


Patients

Patient NumberTreatmentOutcomeDate
10 2019-01-17

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