FDA Adverse Event Injury Summary report: N

NA

MDR report key: 1052227 · Received May 16, 2008

Report

Report Number
2523676-2008-00039
Event Type
Injury
Date Received
May 16, 2008
Date of Event
January 15, 2008
Report Date
May 6, 2008
Manufacturer
B. BRAUN MEDICAL INC.
Product Code
NGT
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
NURSE

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NA NORMAL SALINE IV FLUSH, 10ML NGT B. BRAUN MEDICAL INC. NA UNK

Patients

Seq Age Sex Outcome Treatment
1 * Hospitalization| O