FDA Adverse Event
Malfunction
Summary report: N
INTROCAN SAFETY
MDR report key: 3172864
·
Received June 6, 2013
Report
- Report Number
- 2523676-2013-00162
- Event Type
- Malfunction
- Date Received
- June 6, 2013
- Report Date
- May 17, 2013
- Manufacturer
- B. BRAUN MELSUNGEN AG
- Product Code
- FOZ
- Product Problem
- Yes
- Report Source
- Distributor report
- Reporter Location
- FR
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
AS REPORTED BY THE USER FACILITY ((B)(6)): THE CLIP WAS NOT WELL POSITIONED ON THE TIP OF THE NEEDLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 251938 | INTROCAN SAFETY | I.V. SAFETY CATHETER | FOZ | B. BRAUN MELSUNGEN AG | NA | 2115258316 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK | Other |