FDA Adverse Event Injury Summary report: N

B. BRAUN MEDICAL INC.

MDR report key: 2192932 · Received February 1, 2008

Report

Report Number
2192932
Event Type
Injury
Date Received
February 1, 2008
Date of Event
January 7, 2008
Report Date
February 1, 2008
Manufacturer
B. BRAUN MED. INC.
Product Code
NGT
Adverse Event
Yes
Product Problem
Yes
Report Source
User Facility report
Reporter Location
CA, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

ON (B)(6) 2008, PATIENT WAS ADMITTED TO THE HOSPITAL FOR WEAKNESS, FATIGUE AND FLANK PAIN. BLOOD CULTURES ON (B)(6) 2008 RETURNED POSITIVE FOR SERRATIA MARCESCENS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 B. BRAUN MEDICAL INC. HEPARIN AND NORMAL SALINE PRE-FILLED FLUSHES NGT B. BRAUN MED. INC. NDC# 64054-1003-02
2 B. BRAUN MEDICAL INC. HEPARIN AND NORMAL SALINE PRE-FILLED FLUSHES NZW B. BRAUN MED. INC. NDC# 6405-0910-2

Patients

Seq Age Sex Outcome Treatment
1 82 YR Hospitalization