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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: OWENS & MINOR DISTRIBUTION, INC. MEDICHOICE BLOOD TRANSFER DEVICE WITH MALE LUER LOCK; SYSTEM, BLOOD COLLECTION, VACUUM-ASSISTED, MANUAL

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OWENS & MINOR DISTRIBUTION, INC. MEDICHOICE BLOOD TRANSFER DEVICE WITH MALE LUER LOCK; SYSTEM, BLOOD COLLECTION, VACUUM-ASSISTED, MANUAL Back to Search Results
Patient Problem Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available (4581)
Event Date 01/20/2024
Event Type  malfunction  
Event Description
I was drawing blood from the patient's arterial line with a blood transfer device.After the green tube was full i pulled it out and reached for the next tube, just as i was doing this blood started spraying up into the air and showered down on my patient's abdomen.I do not believe that i was sprayed with blood.Very unsafe condition! i addressed this with my charge nurse and it was not the first time that she heard/seen that happen.
 
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Brand Name
MEDICHOICE BLOOD TRANSFER DEVICE WITH MALE LUER LOCK
Type of Device
SYSTEM, BLOOD COLLECTION, VACUUM-ASSISTED, MANUAL
Manufacturer (Section D)
OWENS & MINOR DISTRIBUTION, INC.
9120 lockwood blvd
mechanicsville VA 23116
MDR Report Key18739901
MDR Text Key335865055
Report NumberMW5151773
Device Sequence Number1
Product Code KST
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Risk Manager
Type of Report Initial
Report Date 02/09/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/16/2024
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Treatment
THERAPY START AND END DATE:
Patient Age51 YR
Patient SexFemale
Patient Weight107 KG
Patient EthnicityHispanic
Patient RaceWhite
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