MalfunctionFMJ
HYPODERMIC NEEDLE-PRO NEELDE WITH PROTECTION DEVICE
Received Jun 15, 2015
Report 2183502-2015-00417 · MDR key 4853595
Device
Generic name
Fmj - Hypodetrmic Needle
Manufacturer
Smiths Medical, Inc.Model number
NACatalog number
4858305
Lot number
2551101
Product problems
- Detachment Of Device Component
Patient
UNK
- No Consequences Or Impact To Patient
Narrative
Description of Event or Problem
A REPORT WAS RECEIVED THAT STATED DURING AN INJECTION, THE NEEDLE BECAME DETACHED FROM THE SYRINGE. NO NEEDLE-STICK TOOK PLACE. THERE WAS NO PATIENT OR CLINICIAN INJURY REPORTED.
Additional Manufacturer Narrative
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.