BEUDAMED
    FDA Adverse Event Other Summary report: N

    B.BRAUN MEDICAL INC. PERIFIX

    MDR report key: 86032 · Received July 3, 1996

    Report

    Report Number
    86032
    Event Type
    Other
    Date Received
    July 3, 1996
    Date of Event
    June 8, 1996
    Report Date
    June 14, 1996
    Manufacturer
    B/BRAUN MEDICAL INC.
    Product Code
    BSO
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    WI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT DEVELOPED SEVERE PANCREATITIS AND UNDERWENT DEBRIDEMENT & DRAINAGE OF INFECTED PANCREATIC NECROSIS AND A FEEDING JEJUNOSTOMY. DURING THIS PROCEDURE AN EPIDURAL CATHETER WAS PLACED FOR PAIN CONTROL. WHEN THE EPIDURAL CATHETER WAS BEING WITHDRAWN, IT BROKE OFF AND 2-3 CM PIECE REMAINS IN THE EPIDURAL SPACE. FRAGMENT REMAINS IN PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 B.BRAUN MEDICAL INC. PERIFIX Implant EPIDURAL CATHETER BSO B/BRAUN MEDICAL INC. UNK *

    Patients

    Seq Age Sex Outcome Treatment
    1 50 YR Other