FDA Adverse Event Injury Summary report: N

NURSE ASSIST, LLC

MDR report key: 19834059 · Received July 25, 2024

Report

Report Number
3002695476-2024-00047
Event Type
Injury
Date Received
July 25, 2024
Report Date
July 3, 2024
Manufacturer
NURSE ASSIST, LLC
Product Code
FRO
PMA / PMN Number
K083042
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

AN EMAIL WAS SENT TO PRODUCT REMOVE INFO EMAIL ADDRESS BY (B)(6) ON (B)(6) 2023. THE EMAIL WAS FORWARDED TO. THE COMPLAINTS DEPARTMENT ON (B)(6) 2024, WHICH INITIATED NURSE ASSIST'S INVESTIGATION OF THE REPORTED INCIDENT AND DETERMINATION THAT THE NOTED INCIDENT WAS REPORTABLE. A FOLLOW-UP EMAIL WAS SENT TO (B)(6) BY THE COMPLAINTS DEPARTMENT ON (B)(6) 2024. REQUESTING ADDITIONAL INFORMATION TO AID WITH REPORTING AND WITH THE INVESTIGATION. THE PRODUCT REMOVAL INFO EMAIL ADDRESS WAS INTENDED TO BE USED SOLELY FOR FACILITATING RETURN AND REPLACEMENT OF PRODUCT AND WAS NOT BEING REVIEWED FOR COMPLAINT INFORMATION, WHICH RESULTED IN THE DELAY OF REPORTING THIS INCIDENT. THE PRODUCT REMOVAL. INFO EMAIL INBOX IS BEING EXPEDITIOUSLY REVIEWED TO IDENTIFY ANY OTHER INCIDENT RELATED INFORMATION THAT WOULD BE CONSIDERED AS A COMPLAINT.

Description of Event or Problem · 0

COMMENTS INCLUDED IN EMAIL RECEIVED FROM COMPLAINTS: I HAVE SEVERAL ORDERS FROM AMAZON FOR THE STERILE 0.9% SALINE SOLUTION - 1000ML, AND I NEED TO KNOW WHAT TO DO. I HAVE EIGHT ORDERS; 7 HAVE BEEN USED, AND THE 8TH IS PARTIALLY USED. I DID END UP WITH A MASSIVE BLOOD INFECTION WITHIN MY PICC IV LINE AFTER USING THE STERILE SALINE. THE SELLERS ON AMAZON ARE: "(B)(4) ," "PREFERRED PHARMACY PLUS," AND "VANGUARD." WHAT DO I NEED TO DO NEXT?

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
534130 NURSE ASSIST, LLC 0.9% NORMAL SALINE FOR IRRIGATION USP IN SCREW TOP FRO NURSE ASSIST, LLC

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other