BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    B. BRAUN

    MDR report key: 185236 · Received August 1, 1998

    Report

    Report Number
    MW1014508
    Event Type
    Malfunction
    Date Received
    August 1, 1998
    Date of Event
    August 22, 1998
    Report Date
    August 27, 1998
    Manufacturer
    B. BRAUN MEDICAL, INC.
    Product Code
    FPA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MD, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THIS PRODUCT IS USED TO ADD A SECONDARY MEDICATION TO PRIMARY INTRAVENOUS TUBING. THE PIECE IS AN ACCESS PIN BY B BRAUN, AND STAFF WAS UNABLE TO GET SOLUTION TO RUN FROM SECONDARY MEDICATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 B. BRAUN SAFESITE ACCESS PIN FPA B. BRAUN MEDICAL, INC. AP-2500 *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other