B.BRAUN
Received Jun 9, 2020
Report 2523676-2020-00156 · MDR key 10132696
Device
Generic name
Nerve Block Tray (kit)
Manufacturer
B. Braun Medical Inc.Model number
332100Catalog number
332100
Lot number
0061707901
Product problems
- Contamination /Decontamination Problem
- Contamination /Decontamination Problem
Patient
Not reported
- No Known Impact Or Consequence To Patient
- No Known Impact Or Consequence To Patient
Narrative
Additional Manufacturer Narrative
THIS REPORT HAS BEEN IDENTIFIED AS B. BRAUN MEDICAL INTERNAL REPORT NUMBER (B)(4). BASED ON THE DATA FROM THE INVESTIGATION WE ARE UNABLE TO DETERMINE THE ROOT CAUSE OF THE REPORTED INCIDENT. REVIEW OF THE DISCREPANCY MANAGEMENT SYSTEM (DSMS) DATABASE WAS PERFORMED FOR THE REPORTED LOT NUMBER AND NO ABNORMALITIES OR NON-CONFORMANCES WERE NOTED DURING THE IN PROCESS OR FINAL PRODUCT INSPECTION. WE WILL MAINTAIN THIS REPORT FOR FURTHER REFERENCES AND CONTINUE TO MONITOR OTHER REPORTS FOR SIMILAR OCCURRENCES. IF ANY ADDITIONAL PERTINENT INFORMATION BECOMES AVAILABLE, A FOLLOW UP WILL BE SUBMITTED.
Additional Manufacturer Narrative
THIS REPORT HAS BEEN IDENTIFIED AS B. BRAUN MEDICAL INTERNAL REPORT NUMBER (B)(4). THE INVESTIGATION IS ONGOING AT THIS TIME. A FOLLOW UP WILL BE SUBMITTED WHEN THE INVESTIGATION RESULTS BECOME AVAILABLE.
Description of Event or Problem
PER MEDWATCH NUMBER: (B)(4). EVENT DESCRIPTION: 5CC PLASTIC SYRINGE WAS FOUND TO CONTAIN WHAT APPEARED TO BE A BLACK PARTICLE OF STOPPER. THE PRESENCE OF THIS PARTICLE WAS OBSERVED BY PHYSICIAN PRIOR TO ADMINISTRATION, WHEN TRIAMCINOLONE ACETONIDE INJECTABLE SUSPENSION WAS DRAWN INTO 5CC PLASTIC SYRINGE. NO INJURY REPORTED.