BEUDAMED
    FDA Adverse Event Other Summary report: N

    B BRAUN

    MDR report key: 755517 · Received June 8, 2005

    Report

    Report Number
    MW1035671
    Event Type
    Other
    Date Received
    June 8, 2005
    Date of Event
    June 5, 2005
    Report Date
    June 8, 2005
    Manufacturer
    B BRAUN
    Product Code
    FPB
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    TPN FILTER SEPARATED FROM TUBING PORT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 B BRAUN SMALLBORE FILTERED EXTENSION SET FPB B BRAUN 352205 60755731

    Patients

    Seq Age Sex Outcome Treatment
    1 1 DAY Other