BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NURSE ASSIST 0.9% USP SODIUM CHLORIDE INJECTION

    MDR report key: 6113770 · Received November 18, 2016

    Report

    Report Number
    MW5066168
    Event Type
    Injury
    Date Received
    November 18, 2016
    Date of Event
    September 29, 2016
    Report Date
    October 5, 2016
    Manufacturer
    NURSE ASSIST
    Product Code
    JOL
    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
    764215 NURSE ASSIST 0.9% USP SODIUM CHLORIDE INJECTION NORMAL SALINE FLUSH JOL NURSE ASSIST 1607418

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR Hospitalization