BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PRAXIJECT SP 0.9% NACL

    MDR report key: 20951100 · Received December 17, 2024

    Report

    Report Number
    20951100
    Event Type
    Malfunction
    Date Received
    December 17, 2024
    Date of Event
    November 19, 2024
    Report Date
    November 29, 2024
    Manufacturer
    MEDXL INC
    Product Code
    NGT
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    RI
    Reporter Occupation
    501

    Narratives

    Description of Event or Problem · 0

    WHILE ATTEMPTING TO NS FLUSH THE PATIENT'S MIDLINE, THE PLUNGER OF THE NS FLUSH BENT, AND A PIECE OF THE PLASTIC BROKE OFF. NO HARM TO STAFF OR PATIENT. MIDLINE NOTED TO BE OCCLUDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1457360 PRAXIJECT SP 0.9% NACL SALINE, VASCULAR ACCESS FLUSH NGT MEDXL INC 3705-3

    Patients

    Seq Age Sex Outcome Treatment
    1 59 YR Male