MalfunctionFMJ
HYPODERMIC NEEDLE-PRO NEEDLE WITH PROTECTION DEVICE
Received Jun 8, 2015
Report 2183502-2015-00404 · MDR key 4838147
Device
Generic name
Hypodermic Needle
Manufacturer
Smiths Medical Inc.Model number
NACatalog number
4658305
Lot number
2736438
Product problems
- Detachment Of Device Component
Patient
UNK
- No Consequences Or Impact To Patient
Narrative
Additional Manufacturer Narrative
MANUFACTURER COMPLETED THE ENTIRE FORM. CUSTOMER HAS NOT YET RETURNED THE DEVICE TO THE MANUFACTURER FOR DEVICE EVALUATION. WHEN AND IF THE DEVICE BECOMES AVAILABLE AND IS RETURNED AND EVALUATED THE MANUFACTURER WILL FILE A FOLLOW-UP REPORT DETAILING THE RESULTS OF THE EVALUATION.
Description of Event or Problem
A REPORT WAS REC'D THAT STATE DURING AN INJECTION, THE NEEDLE BECAME DETACHED FROM THE SYRINGE. NO NEEDLE-STICK TOOK PLACE. THERE WAS NO PT OR CLINICIAN INJURY REPORTED.