BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LUMBAR EPIDURAL STEROID SYRINGE

    MDR report key: 11622 · Received February 18, 1994

    Report

    Report Number
    MW1000834
    Event Type
    Injury
    Date Received
    February 18, 1994
    Date of Event
    February 1, 1994
    Report Date
    February 9, 1994
    Manufacturer
    ARROW INTL., INC.
    Product Code
    FMF
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    FOLLOWING EPIDURAL INJECTION (LEB) BY THE ATTENDING PHYSICIAN, THE PLASTIC CYRINGE BULB SEPARATED FROM THE NEEDLE SHANK, THUS LEAVING THE EPIDURAL NEEDLE IN THE PT'S BACK. THE PHYSICIAN HAD TO REMOVE THE NEEDLE USING GAUZE SPONGES TO GRIP AND WITHDRAW IT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LUMBAR EPIDURAL STEROID SYRINGE FMF ARROW INTL., INC. B-291-3

    Patients

    Seq Age Sex Outcome Treatment
    1 40 YR Required Intervention