BEUDAMED
    FDA Adverse Event Other Summary report: N

    B.BRAUN SP24K 24 GA SPROTTE W BUPIVAC

    MDR report key: 2667065 · Received December 23, 2005

    Report

    Report Number
    9611612-2005-00012
    Event Type
    Other
    Date Received
    December 23, 2005
    Date of Event
    June 2, 2005
    Report Date
    September 27, 2005
    Manufacturer
    PAJUNK GMBH
    Product Code
    BSP
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    THE INTRODUCER NEEDLE BROKE OFF WHILE IN THE PT. THE PT NEEDED TO GO TO THE OPERATING ROOM FOR REMOVAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 B.BRAUN SP24K 24 GA SPROTTE W BUPIVAC INTRODUCER CANNULA 24G BSP PAJUNK GMBH 02090552 60728602

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention