FDA Adverse Event Injury Summary report: N

NURSE ASSIST 0.9 PERCENT USP SODIUM CHLORIDE INJECTION

MDR report key: 6113344 · Received November 17, 2016

Report

Report Number
MW5066143
Event Type
Injury
Date Received
November 17, 2016
Date of Event
September 29, 2016
Report Date
October 5, 2016
Manufacturer
NURSE ASSIST, INC.
Product Code
NGT
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
NJ, US
Reporter Occupation
PHARMACIST

Narratives

Description of Event or Problem · 1

PRODUCT LINKED TO B. CEPACIA INFECTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
761800 NURSE ASSIST 0.9 PERCENT USP SODIUM CHLORIDE INJECTION NORMAL SALINE FLUSH NGT NURSE ASSIST, INC. 1607418

Patients

Seq Age Sex Outcome Treatment
1 UNK Hospitalization