FDA Adverse Event Malfunction Summary report: N

PLEXOLONG NANOLINE® NRFIT®

MDR report key: 20244288 · Received September 18, 2024

Report

Report Number
9611612-2024-00022
Event Type
Malfunction
Date Received
September 18, 2024
Date of Event
September 15, 2024
Report Date
November 8, 2024
Manufacturer
PAJUNK GMBH MEDIZINTECHNOLOGIE
Product Code
CAZ
UDI-DI
04048223067451
PMA / PMN Number
K113188
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
RISK MANAGER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

EVENT TOOK PLACE IN FRANCE. BASED ON CLINICAL ASSESSMENT AND RISK ASSESSMENT THIS REPORT IS CONSIDERED AS CLOSED. IN CASE NEW INFORMATION BECOMES AVAILABLE A FOLLOW UP REPORT WILL BE SENT TO THE AGENCY.

Additional Manufacturer Narrative · 0

EVENT TOOK PLACE IN FRANCE. THE PRODUCT ANALYSIS HAS BEEN IN PROGRESS SINCE THE INITIAL NOTICE DATED 09/18/2024. AND WILL BE PUBLISHED WITH THE TEST RESULTS IN THE FOLLOW-UP REPORT.

Additional Manufacturer Narrative · 0

EVENT TOOK PLACE IN FRANCE. CORRECTION 08/11/2024: MANUFACTURING DATE CHANGE TO 06/20/2023. BASED ON CLINICAL ASSESSMENT AND RISK ASSESSMENT THIS REPORT IS CONSIDERED AS CLOSED. IN CASE NEW INFORMATION BECOMES AVAILABLE A FOLLOW UP REPORT WILL BE SENT TO THE AGENCY.

Description of Event or Problem · 0

IRN# (B)(4). EVENT TOOK PLACE IN FRANCE. CATHETER ADAPTER APPEARS TO CRUSH THE CATHETER, MAKING INJECTION IMPOSSIBLE.

Description of Event or Problem · 0

IRN# (B)(4). CATHETER ADAPTER APPEARS TO CRUSH THE CATHETER, MAKING INJECTION IMPOSSIBLE.

Description of Event or Problem · 0

IRN# (B)(4). EVENT TOOK PLACE IN FRANCE. CATHETER ADAPTER APPEARS TO CRUSH THE CATHETER, MAKING INJECTION IMPOSSIBLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1360125 PLEXOLONG NANOLINE® NRFIT® PLEXOLONG NANOLINE® NRFIT®_ANAESTHESIA CONDUCTION KIT CAZ PAJUNK GMBH MEDIZINTECHNOLOGIE 521166-31A 1496 04048223067451

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other| R