PENCAN P25LBTK 333861

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1999-07-02 for PENCAN P25LBTK 333861 manufactured by B. Braun Medical, Inc..

Event Text Entries

[125372] Medwatch form received from user facility states: "pt underwent a c-section with spinal anesthesia. During administration of the spinal anesthesia, the spinal needle was noted to break off. The 27 gauge needle was surgically removed without further problems. "
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number230111
MDR Report Key230111
Date Received1999-07-02
Date of Report1999-05-26
Date of Event1999-04-30
Date Facility Aware1999-04-30
Report Date1999-05-26
Date Reported to Mfgr1999-05-26
Date Added to Maude1999-07-07
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NamePENCAN
Generic NamePENCAN FULL SPINAL KIT
Product CodeHAS
Date Received1999-07-02
Model NumberP25LBTK
Catalog Number333861
Lot NumberUNK
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeUNKNOWN
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key223172
ManufacturerB. BRAUN MEDICAL, INC.
Manufacturer Address901 MARCON BLVD. ALLENTOWN PA 18103 US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 1999-07-02

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