BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PERIFIX CONTINUOUS EPIDURAL

    MDR report key: 581714 · Received March 8, 2005

    Report

    Report Number
    MW1034920
    Event Type
    Malfunction
    Date Received
    March 8, 2005
    Date of Event
    March 3, 2005
    Report Date
    March 7, 2005
    Manufacturer
    B. BRAUN MEDICAL INC.
    Product Code
    CAZ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MN, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    EPIDURAL CATHETER REMOVED FROM EPIDURAL SPACE - EPIDURAL CATHETER SNAPPED - LEAVING TIP IN PT. F/UP M.D.A.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PERIFIX CONTINUOUS EPIDURAL EPIDURAL/INTRATHECAL FOR LABOR CAZ B. BRAUN MEDICAL INC. * 60721170

    Patients

    Seq Age Sex Outcome Treatment
    1 20 YR Other