BEUDAMED
    FDA Adverse Event Other Summary report: N

    INTROCAN SAFETY

    MDR report key: 676518 · Received February 10, 2006

    Report

    Report Number
    2523676-2006-00007
    Event Type
    Other
    Date Received
    February 10, 2006
    Report Date
    February 6, 2006
    Manufacturer
    B. BRAUN MEDICAL INC.
    Product Code
    FOZ
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THE STYLET DISCONNECTED FROM THE HUB. NO PT INJURY REPORTED. NO ADD'L INFO OR A SAMPLE WAS PROVIDED BY THE FACILITY AFTER SEVERAL ATTEMPTS WERE MADE TO THE FACILITY REQUESTING ADD'L INFO.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INTROCAN SAFETY I.V. SAFETY CATHETER FOZ B. BRAUN MEDICAL INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other