BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PERIFIX SOFT-TIP EPIDURAL CATHETER

    MDR report key: 1031649 · Received April 16, 2008

    Report

    Report Number
    MW5006325
    Event Type
    Injury
    Date Received
    April 16, 2008
    Date of Event
    April 16, 2008
    Report Date
    April 16, 2008
    Manufacturer
    PERIFIX/B. BRAUN MEDIAL
    Product Code
    BSO
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    A 5M EPIDURAL CATHETER TIP INSERTED AT THE L3-L4 LEVEL FOR LABOR ANALGESIA WAS BROKEN OFF WHILE ATTEMPTING TO PULL BACK. DATES OF USE: (B)(6) 2008, DIAGNOSIS OR REASON FOR USE: LABOR AND DELIVERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PERIFIX SOFT-TIP EPIDURAL CATHETER EPIDURAL CATHETER 20 GAUGE POLYAMIDE 100CM BSO PERIFIX/B. BRAUN MEDIAL 60970249

    Patients

    Seq Age Sex Outcome Treatment
    1 MRI SPINE