PERIFIX

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1995-01-19 for PERIFIX manufactured by B. Brawn Medical, Inc..

Event Text Entries

[18894] Epidural catheter placed for anesthetic adminstration at l2 - l3. Encountered resistance when removing the catheter post operatively. 0. 5 cm of catheter retained in patient when catheter finally removed. No untoward effects noted.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number25745
MDR Report Key25745
Date Received1995-01-19
Date of Report1994-11-25
Date of Event1994-11-10
Date Facility Aware1994-11-23
Report Date1994-11-25
Date Reported to Mfgr1994-11-25
Date Added to Maude1995-09-19
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 NamePERIFIX
Generic NameCESK - CUSTOM EPIDURAL ANESTHESIA CATHETER
Product CodeMAJ
Date Received1995-01-19
Lot Number#649210
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Age*
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key26346
ManufacturerB. BRAWN MEDICAL, INC.
Manufacturer Address824 12TH AVENUE BETHLEHEM PA 18018 US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 1995-01-19

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