BEUDAMED
    FDA Adverse Event Other Summary report: N

    BBRAUN

    MDR report key: 447600 · Received March 7, 2003

    Report

    Report Number
    MW1027783
    Event Type
    Other
    Date Received
    March 7, 2003
    Date of Event
    January 4, 2003
    Report Date
    March 7, 2003
    Manufacturer
    BBRAUN INC., (BBRAUN OF PUERTO RICO, INC.)
    Product Code
    FPB
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MT, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    LEAKING FILTER FROM IV TUBING. PT DID NOT RECEIVE THE REQUIRED MEDICATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BBRAUN IV FILTER FPB BBRAUN INC., (BBRAUN OF PUERTO RICO, INC.) * *

    Patients

    Seq Age Sex Outcome Treatment
    1 5 DAY Other