BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    B BRAUN NON-VENTED DISPENSING PIN

    MDR report key: 6463339 · Received April 4, 2017

    Report

    Report Number
    MW5068929
    Event Type
    Malfunction
    Date Received
    April 4, 2017
    Date of Event
    March 16, 2017
    Report Date
    March 23, 2017
    Manufacturer
    B BRAUN
    Product Code
    FPA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    B BRAUN NON-VENTED DISPENSING PIN. REF 413501, PRODUCT CODE DP3500L WITH LUER LOCK SAFSITE VALVE. PACKAGE CONTAINS A PARTIAL FINGER NAIL IN STERILE PACK. IV ROOM TECHNICIAN RESTOCKING AND NOTICED WHAT APPEARS TO BE A PARTIAL FINGERNAIL INSIDE OF A B BRAUN STERILE NON-VENTED DISPENSING PIN WITH LUER LOCK SAFSITE VALVE. REF 4135051, PRODUCT CODE DP3500L (B)(4). LOT # 0061537772 EXP. 11/30/2021. B BRAUN MEDICAL INC. (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    241398 B BRAUN NON-VENTED DISPENSING PIN SET. ADMINISTRATION INTRAVASCULAR FPA B BRAUN REF 413501 0061537772

    Patients

    Seq Age Sex Outcome Treatment
    1