MAUDE MDR 8287419

MDR report key
8287419
Report number
8021764-2019-00003
Event key
0
Event type
3
Date received
2019-01-29
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
2
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MS. PATRICIA CRONAN
Address
1755 WEST OAK COMMONS CT., MARIETTA GA 30062 US
Phone
770-770-7709
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1UNISTIK 3LANCETOWEN MUMFORD LIMITEDFMKAT 1022032914R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-01-2901. O

Event Narratives#

N

Patient 1

THE DEVICE USED WAS NOT RETURNED, SO A PREVIOUS INVESTIGATION FOR THE SAME REPORTED FAULT, NON-RETRACTING NEEDLE WAS USED TO CLOSE THE COMPLAINT, (B)(4).

D

Patient 1

DURING GLYCEMIC CONTROL OF A PATIENT, AFTER USING THE DEVICE IN THE USUAL CONDITIONS, WHEN THE NURSE REMOVED HER GLOVES, SHE FOUND SHE WAS BLEEDING FROM A FINGERTIP ON HER LEFT HAND. IN LOOKING MORE DEEPLY, THE DEVICE SEEMED THAT IT DID NOT RETRACT ENTIRELY.