BEUDAMED
    FDA Adverse Event Other Summary report: N

    B.BRAUN

    MDR report key: 747322 · Received October 24, 2005

    Report

    Report Number
    MW1036989
    Event Type
    Other
    Date Received
    October 24, 2005
    Date of Event
    October 18, 2005
    Report Date
    October 24, 2005
    Manufacturer
    B.BRAUN MEDICAL INC
    Product Code
    KPE
    Product Problem
    Yes
    Report Source
    Voluntary report

    Narratives

    Description of Event or Problem · 1

    THE PVC 500 ML BAG CONTAINED POLYGRAM (32 GM). WHEN THE BAG LEFT THE PHARMACY THERE WAS NO DAMAGE TO BAG. WHEN NURSE WENT TO INFUSE, NURSE CLAIMS THAT THE SEAMS OF THE BAG WERE DAMAGED AND THE MEDICATION LEAKED OUT OF BAG.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 B.BRAUN PVC 500ML BAG KPE B.BRAUN MEDICAL INC * 060799372

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other NO