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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: NEXUS MEDICAL, LLC NEXUS MEDICAL PLASTIC BLUNT CANNULA ( PRODUCT # N06576) SET, ADMINISTRATION, INTRAVASCULAR

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NEXUS MEDICAL, LLC NEXUS MEDICAL PLASTIC BLUNT CANNULA ( PRODUCT # N06576) SET, ADMINISTRATION, INTRAVASCULAR Back to Search Results
Device Problem Product Quality Problem (1506)
Patient Problem Insufficient Information (4580)
Event Type  malfunction  
Event Description
Use of nexus medical plastic blunt cannula (product # n06576) leads to rubber stopper being push all the way in. Occurred on multiple vials with different healthcare providers. Occurs when used with 13 mm size vials. Fda safety report id # (b)(4).
 
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Brand NameNEXUS MEDICAL PLASTIC BLUNT CANNULA ( PRODUCT # N06576)
Type of DeviceSET, ADMINISTRATION, INTRAVASCULAR
Manufacturer (Section D)
NEXUS MEDICAL, LLC
MDR Report Key12238701
MDR Text Key264077309
Report NumberMW5102796
Device Sequence Number1
Product Code FPA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Pharmacist
Type of Report Initial
Report Date 07/23/2021
1 Device was Involved in the Event
0 Patients were Involved in the Event:
Date FDA Received07/27/2021
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA?
Event Location No Information
Was Device Evaluated by Manufacturer?
Is the Device Single Use?
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage

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