| Brand Name | TKMD SAFETY NEEDLE |
| Common Device Name | NEEDLE, HYPODERMIC, SINGLE LUMEN |
| Manufacturer (Section D) |
| ANHUI TIANKANG MEDICAL TECHNOLOGY CO., LTD. |
| no 228, weiyi road |
| economic development zone |
| tianchang, anhui 23930 0 |
| CH 239300 |
|
| Manufacturer (Section G) |
| ANHUI TIANKANG MEDICAL TECHNOLOGY CO., LTD. |
| no 228, weiyi road |
| economic development zone |
| tianchang, anhui 23930 0 |
|
CH
239300
|
|
| Manufacturer Contact |
|
catherine
guan
|
| no 228, weiyi road |
| economic development zone |
| tianchang, anhui 23930-0
|
|
CH
239300
|
|
| MDR Report Key | 23653034 |
| Report Number | 3007590959-2025-00000 |
| Device Sequence Number | 4824573 |
| Product Code |
FMI
|
| UDI-Device Identifier | 06934841570030 |
| UDI-Public | 06934841570030 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | CH |
| PMA/510(K) Number | K191644 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional |
| Initial Reporter Occupation |
Nurse
|
| Remedial Action |
Modification/Adjustment |
| Type of Report
| Initial |
| Report Date (Section B) |
10/15/2025 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Expiration Date | 07/14/2026 |
| Device Model Number | TKSN008 |
| Device Catalogue Number | N2310 |
| Device Lot Number | 20210715 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 10/21/2025 |
| Initial Report FDA Received Date | 11/25/2025 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 07/15/2021 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|