BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MCGAW

    MDR report key: 172359 · Received June 10, 1998

    Report

    Report Number
    172359
    Event Type
    Injury
    Date Received
    June 10, 1998
    Date of Event
    May 11, 1998
    Report Date
    June 8, 1998
    Manufacturer
    MEDICAL DIV OF B. BRAUN, INC.
    Product Code
    FPA
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    CRACKED TUBING NOTED DURING RESUSCITATION WITH FLUIDS AND MEDICATIONS. WHEN TUBING REPLACED, IMMEDIATE INCREASE IN BLOOD PRESSURE NOTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MCGAW IV INFUSION TUBING FPA MEDICAL DIV OF B. BRAUN, INC. UNK F8A 420

    Patients

    Seq Age Sex Outcome Treatment
    1 71 YR Life Threatening MCGAW INFUSION PUMP #53354.| MCGAW INFUSION PUMP #53310,