BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PENCAN SPINAL NEEDLE TRAY

    MDR report key: 13087523 · Received December 23, 2021

    Report

    Report Number
    MW5106280
    Event Type
    Injury
    Date Received
    December 23, 2021
    Date of Event
    December 16, 2021
    Report Date
    December 22, 2021
    Manufacturer
    B. BRAUN MEDICAL INDUSTRIES SDN. BHD.
    Product Code
    BSP
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WA, US
    Reporter Occupation
    RISK MANAGER
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    SPINAL NEEDLE BROKE WHILE BEING USED FOR SPINAL ANALGESIA. FDA SAFETY REPORT ID # (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1969351 PENCAN SPINAL NEEDLE TRAY NEEDLE, CONDUCTION, ANESTHETIC (W/WO INTRODUCER) BSP B. BRAUN MEDICAL INDUSTRIES SDN. BHD. 0061782587

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR Male Required Intervention