BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DISPENSING PIN

    MDR report key: 1084312 · Received July 29, 2008

    Report

    Report Number
    MW5007828
    Event Type
    Malfunction
    Date Received
    July 29, 2008
    Date of Event
    July 29, 2008
    Report Date
    July 29, 2008
    Manufacturer
    B. BRAUN MEDICAL INC.
    Product Code
    LHI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    A B.BRAUN MEDICAL INC. DISPENSING PIN WAS DISCOVERED TO BE PACKAGED WITH A HUMAN HAIR BY AN IV TECHNICIAN AT OUR HOSPITAL. THE DISPENSING PIN WAS UNOPENED AND THE HUMAN HAIR WAS INSIDE THE PACKAGE. HOSPITAL: MFR: B. BRAUN MEDICAL INC. - LOT 60951194. DOSE OR AMOUNT: 1. DIAGNOSIS OR REASON FOR USE: NOT USED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DISPENSING PIN LHI B. BRAUN MEDICAL INC. 60951194
    2 DISPENSING PIN DISPENSING PIN LHI B. BRAUN MEDICAL INC. 60951194

    Patients

    Seq Age Sex Outcome Treatment
    1