BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADDEASE BINARY CONNECTOR 17 GA B BRAUN

    MDR report key: 2270402 · Received September 27, 2011

    Report

    Report Number
    MW5022407
    Event Type
    Malfunction
    Date Received
    September 27, 2011
    Date of Event
    September 26, 2011
    Report Date
    September 27, 2011
    Manufacturer
    B BRAUN
    Product Code
    LHI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    B BRAUN ADDEASE BINARY CONNECTOR WITH 17 GA NEEDLE DEVICE LEAKING WHEN USED TO CONNECT DRUG VIAL TO IV SOLUTION BAG.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ADDEASE BINARY CONNECTOR 17 GA B BRAUN BINARY CONNECTOR LHI B BRAUN 61159253

    Patients

    Seq Age Sex Outcome Treatment
    1