BEUDAMED
    FDA Adverse Event Summary report: N

    B. BRAUN MEDICAL INC.

    MDR report key: 213059 · Received March 4, 1999

    Report

    Report Number
    MW1015831
    Date Received
    March 4, 1999
    Date of Event
    May 9, 1998
    Report Date
    May 11, 1998
    Manufacturer
    B. BRAUN MEDICAL, INC.
    Product Code
    DQO
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    IN THE CRITICAL CARE UNIT AT 9:30AM, PT REC'D FOR POST CODE. NOTED BLEEDING AT SITE, APPLIED PRESSURE, THEN NOTED WHILE FLUSHING LINE BLOOD AND INTRAVENOUS FLUIDS WERE COMING OUT OF HOLE IN CATHETER. REMOVED CATHETER AND INSERTED NEW LINE ON RIGHT SIDE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 B. BRAUN MEDICAL INC. TRIPLE LUMEN CATHETER DQO B. BRAUN MEDICAL, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 41 YR