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Adverse Event Report

B. BRAUN MEDICAL, INC. WHIN ONE INFUSION 22GA X 3/4"HUBER NEEDLE WITH Y SET   back to search results
Catalog Number HW2276YHRF
Patient Outcome  Other;
Event Description

Accessed mediport with huber needle. When flushing with normal saline, small drop of normal saline came out around tubing.

 
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Brand NameWHIN ONE INFUSION
Type of Device22GA X 3/4"HUBER NEEDLE WITH Y SET
Baseline Device 510(K) Number
Baseline Device PMA Number
Manufacturer (Section D)
B. BRAUN MEDICAL, INC.
824 twelfth ave.
bethlehem PA 18018
Device Event Key158342
MDR Report Key162629
Event Key152848
Report NumberMW1013499
Device Sequence Number1
Product CodeFMI
Report Source Voluntary
Report Date 04/06/1998
1 Device Was Involved in the Event
1 Patient Was Involved in the Event
Date FDA Received04/06/1998
Is This An Adverse Event Report? No
Is This A Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue NumberHW2276YHRF
OTHER Device ID NumberSTOCK #1610
Was Device Available For Evaluation? Yes
Is the Device an Implant? No
Is this an Explanted Device? No Answer Provided

Patient TREATMENT DATA
Date Received: 04/06/1998 Patient Sequence Number: 1
#TreatmentTreatment Date
1,NOT APPLICABLE,

Database last updated on February 28, 2009

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