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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON AND COMPANY INSULIN NEEDLE; NEEDLE, HYPODERMIC, SINGLE LUMEN

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BECTON DICKINSON AND COMPANY INSULIN NEEDLE; NEEDLE, HYPODERMIC, SINGLE LUMEN Back to Search Results
Device Problem Manufacturing, Packaging or Shipping Problem (2975)
Patient Problem Insufficient Information (4580)
Event Date 01/17/2023
Event Type  malfunction  
Event Description
When rn opened the insulin needle, found old needle still stuck on the insulin pen.
 
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Brand Name
INSULIN NEEDLE
Type of Device
NEEDLE, HYPODERMIC, SINGLE LUMEN
Manufacturer (Section D)
BECTON DICKINSON AND COMPANY
MDR Report Key16226156
MDR Text Key308030192
Report NumberMW5114434
Device Sequence Number2
Product Code FMF
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Pharmacist
Type of Report Initial
Report Date 01/19/2023
2 Devices were Involved in the Event: 1   2  
1 Patient was Involved in the Event
Date FDA Received01/20/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Is the Reporter a Health Professional? Yes
Patient Sequence Number1
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