BEUDAMED
    FDA Adverse Event Other Summary report: N

    ACCESS PIN

    MDR report key: 10694 · Received December 29, 1993

    Report

    Report Number
    MW1000242
    Event Type
    Other
    Date Received
    December 29, 1993
    Date of Event
    December 8, 1993
    Report Date
    December 14, 1993
    Manufacturer
    BURRON MEDICAL, INC.
    Product Code
    FPA
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    SPIKE OF THE ACCESS PIN BROKE OFF WHEN TRYING TO PUNCTURE "Y" CONNECTOR OF IV TUBING. THERE WAS NO PT INVOLVED, THIS INVOLVED A PROBLEM WITH THE PRODUCT ONLY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ACCESS PIN FPA BURRON MEDICAL, INC. AP-2500/415079 687470

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other