BEUDAMED
    FDA Adverse Event Injury Summary report: N

    B. BRAUN

    MDR report key: 2192967 · Received March 6, 2008

    Report

    Report Number
    2192967
    Event Type
    Injury
    Date Received
    March 6, 2008
    Date of Event
    January 22, 2008
    Report Date
    February 5, 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

    PATIENT WAS ADMITTED TO (B)(6) HOSPITAL ON (B)(6) 2008 WITH COMPLAINT OF FEVER AND CHILLS DURING HER CHEMOTHERAPY. ON (B)(6) 2008, HER BLOOD CULTURES RETURNED POSITIVE FOR SERRATIA MARCESCENS.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR Other