FDA Adverse Event Injury Summary report: N

BD SPINAL NEEDLE

MDR report key: 1063388 · Received June 19, 2008

Report

Report Number
2618282-2008-00015
Event Type
Injury
Date Received
June 19, 2008
Date of Event
June 12, 2008
Report Date
June 19, 2008
Product Code
BSP
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
RISK MANAGER

Narratives

Additional Manufacturer Narrative · 1

PRE-AMEN. ACTUAL SAMPLE NOT RETURNED FOR EVALUATION. THE SAMPLE WOULD NORMALLY BE SENT TO OUR MICROSCOPY LAB FOR SEM ANALYSIS TO DETERMINE THE CAUSE OF THE BREAKAGE. THE VAST MAJORITY OF THESE INCIDENTS INVOLVE THE NEEDLE BEING BENT DURING THE PROCEDURE CAUSING THE NEEDLE TO BREAK WHEN RE-STRAIGHTENING. A REVIEW OF OUR COMPLAINT DATABASE DID NOT REVEAL ANY OTHER INCIDENTS OF THIS NATURE WITH THIS LOT OF PRODUCT. REGULATORY COMPLIANCE WILL CONTINUE TO IDENTIFY ANY CHANGES IN TRENDING.

Description of Event or Problem · 1

DURING AN ARTHROGRAM PROCEDURE, NEEDLE BROKE OFF IN PATIENT'S RIGHT SHOULDER. PHYSICIAN UNABLE TO RETRIEVE NEEDLE. PATIENT SENT TO OUTSIDE SURGEON TO RETRIEVE THE NEEDLE - OUTCOME UNKNOWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BD SPINAL NEEDLE 22G X 3 1/2 QUINCKE STERILE SPINAL NEEDLE BSP NA 8016407

Patients

Seq Age Sex Outcome Treatment
1 UNK Required Intervention