BEUDAMED
    FDA Adverse Event Other Summary report: N

    B BRAUN

    MDR report key: 762455 · Received August 31, 2006

    Report

    Report Number
    762455
    Event Type
    Other
    Date Received
    August 31, 2006
    Date of Event
    June 30, 2006
    Report Date
    July 18, 2006
    Manufacturer
    B BRAUN
    Product Code
    FPA
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    IN 2006, 03:15 PM, B-BRAUN IV TUBING CAME DISCONNECTED AT THE LUER LOCK CAUSING PT TO LOOSE BLOOD THAT RAN ONTO FLOOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 B BRAUN GENERAL HOSP PRODUCTS FPA B BRAUN B BRAUN IV TUBING *

    Patients

    Seq Age Sex Outcome Treatment
    1 37 YR Other