FDA Adverse Event
Other
Summary report: N
20 GA CLOSED SOFT TIP CATHETER
MDR report key: 4189820
·
Received October 15, 2014
Report
- Report Number
- MW5038670
- Event Type
- Other
- Date Received
- October 15, 2014
- Report Date
- October 14, 2014
- Manufacturer
- B BRAUN
- Product Code
- CAZ
- Report Source
- Voluntary report
- Reporter Location
- OH, US
- Reporter Occupation
- PHARMACIST
Narratives
Description of Event or Problem · 1
OPERATING ROOM REPORTED PROBLEM WITH EPIDURAL TRAY; TRAYS WITH SAME LOT NUMBER SEQUESTERED BY PHARMACY UNTIL FURTHER INVESTIGATION NARROWED DOWN THE PROBLEM; ASKED TODAY IF COMPANY NOTIFIED - CONTACTED B. BRAUN WITH TRAY LOT NUMBER (B)(6) 2014 AT 11:00, BUT CATHETER LOT WITH PROBLEM UNKNOWN; CONTACT INFORMATION FOR ANESTHESIA GIVEN TO B. BRAUN REPRESENTATIVE FOR MORE INFORMATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 652630 | 20 GA CLOSED SOFT TIP CATHETER | EPIDURAL CATHETER | CAZ | B BRAUN | |||
| 652631 | B. BRAUN CUSTOM SPINAL AND EPIDURAL ANESTHESIA TRAY | B. BRAUN CUSTOM SPINAL AND EPIDURAL ANESTHESIA TRAY | CAZ | B BRAUN | SESK | 61376392 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |