PENCAN? 333851

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-02-05 for PENCAN? 333851 manufactured by B. Braun Medical Inc..

Event Text Entries

[98975027]
Patient Sequence No: 1, Text Type: N, H10


[98975028] Spinal needle broke off and was unable to be retrieved.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number7240486
MDR Report Key7240486
Date Received2018-02-05
Date of Report2018-02-01
Date of Event2017-09-19
Report Date2018-02-02
Date Reported to FDA2018-02-02
Date Reported to Mfgr2018-02-02
Date Added to Maude2018-02-05
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePENCAN?
Generic NameSPINAL ANESTHESIA KIT
Product CodeOFU
Date Received2018-02-05
Model Number333851
Catalog Number333851
ID Number25 GUAGE X 3 1/2 INCHES SPINA
OperatorPHYSICIAN
Device AvailabilityY
Device Age1 DY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerB. BRAUN MEDICAL INC.
Manufacturer Address901 MARCON BLVD. ALLENTOWN PA 18109 US 18109


Patients

Patient NumberTreatmentOutcomeDate
10 2018-02-05

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