BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    T-CONNECTOR

    MDR report key: 5350839 · Received January 4, 2016

    Report

    Report Number
    MW5059019
    Event Type
    Malfunction
    Date Received
    January 4, 2016
    Date of Event
    January 1, 2016
    Report Date
    January 4, 2016
    Manufacturer
    B BRAUN
    Product Code
    FPA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    2

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A T-CONNECTOR PORT LEAKING AND TUBING BROKEN AT T SITE. ALL T CONNECTORS WITH LOT# 1203004 PULLED FROM FLOOR STOCK AT THIS TIME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1361 T-CONNECTOR FPA B BRAUN 1203004

    Patients

    Seq Age Sex Outcome Treatment
    1