BEUDAMED
    FDA Adverse Event Other Summary report: N

    B BRAUN

    MDR report key: 2431105 · Received January 24, 2012

    Report

    Report Number
    MW5024006
    Event Type
    Other
    Date Received
    January 24, 2012
    Date of Event
    January 24, 2012
    Report Date
    January 24, 2012
    Manufacturer
    B. BRAUN MEDICAL INC.
    Product Code
    FMI
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DRAWING BLOOD OUT OF A VACUTAINER BLOOD TUBE AND SUCTION PULLED IT BACK AND POKED LEFT LITTLE FINGER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 B BRAUN FILTER NEEDLE FMI B. BRAUN MEDICAL INC. 61186761

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR Other