FDA Adverse Event
Injury
Summary report: N
AMBU NEUROLINE CONCENTRIC NEEDLE
MDR report key: 11957548
·
Received June 8, 2021
Report
- Report Number
- 1220828-2021-00004
- Event Type
- Injury
- Date Received
- June 8, 2021
- Date of Event
- January 19, 2021
- Report Date
- February 17, 2021
- Manufacturer
- AMBU A/S
- Product Code
- GXZ
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- SP
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THIS INCIDENT IS STILL UNDER INVESTIGATION.
Description of Event or Problem · 1
THE NEEDLE HEAD HAS BEEN DETACHED DURING THE EMG SCAN AND THE NEEDLE WAS STUCK IN THE PATIENT. THE PATIENT HAD ANOTHER SURGERY SCHEDULED AND THAT WAS WHEN THE DOCTOR REMOVED THE NEEDLE EMBEDDED INSIDE THE PATIENT. THE DOCTOR KNEW WHERE THE NEEDLE WAS AFTER AN X-RAY WAS MADE. THE SURGERY WAS OVERNIGHT AND THE NEEDLE WAS INSIDE THE PATIENT FOR A FEW HOURS. IT WAS LOCATED BETWEEN THE HIP AND GLUTEAL MUSCLE UNDER THE SKIN - IT WAS HIDDEN UNDER THE EPIDERMIS. THE PATIENT IS IN VERY GOOD CONDITION AND THERE WERE NO CONSEQUENCES FOR THE PATIENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 850187 | AMBU NEUROLINE CONCENTRIC NEEDLE | CONCENTRIC NEEDLE, NEEDLE ELECTRODE | GXZ | AMBU A/S |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |