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