FDA Adverse Event Summary report: N

B. BRAUN

MDR report key: 2973810 · Received February 15, 2013

Report

Report Number
MW5029019
Date Received
February 15, 2013
Date of Event
February 13, 2013
Report Date
February 15, 2013
Manufacturer
B. BRAUN
Product Code
FOZ
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
NJ, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

A RN STARTED IV WITH THIS PRODUCT - 22 GAUGE INTROCAN SAFETY BY B. BRAUN. UPON CLEANING UP HE REPORTED HE WAS STUCK ON FINGER BY EXPOSED NEEDLE TIP BECAUSE HE SAYS THE NEEDLE WAS RETRACTED THROUGH THE LOCKED POSITION. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
69375 B. BRAUN INTROCAN SAFETY 22 GX 1" PU FOZ B. BRAUN 4251628-02 NA

Patients

Seq Age Sex Outcome Treatment
1 27 YR