FDA Adverse Event Malfunction Summary report: N

SAFE-T PLUS THORACENTESIS/PARACENTESIS

MDR report key: 14712655 · Received June 16, 2022

Report

Report Number
1625685-2022-00065
Event Type
Malfunction
Date Received
June 16, 2022
Date of Event
May 26, 2022
Report Date
August 15, 2022
Manufacturer
CAREFUSION, INC
Product Code
PXI
UDI-DI
10885403108433
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). INITIAL EMDR SUBMISSION. A FOLLOW UP EMDR WILL BE SUBMITTED IF ADDITIONAL INFORMATION BECOMES AVAILABLE. (B)(4).

Additional Manufacturer Narrative · 0

PR (B)(4) FOLLOW-UP EMDR FOR DEVICE EVALUATION: EIGHT PHOTOS WERE PROVIDED TO OUR QUALITY TEAM FOR INVESTIGATION. THROUGH VISUAL INSPECTION, IT WAS OBSERVED THAT THE BENT AND BROKEN NEEDLE ; THEREFORE, THE REPORTED FAILURE COULD BE VERIFIED. A REVIEW OF THE INTERNAL MANUFACTURING DEVICE RECORDS AND RAW MATERIAL HISTORY FILES FOR THE REPORTED LOT NUMBER 0001449441 WAS PERFORMED AND NO RECORDED QUALITY PROBLEMS OR REJECTIONS RELATED TO THIS INCIDENT WERE FOUND. PRODUCT UNDERGOES INSPECTIONS DURING MANUFACTURING, NO ISSUES RELATED TO THE REPORTED INCIDENT WERE IDENTIFIED, ALL PROCEDURAL AND FUNCTIONAL REQUIREMENTS FOR PRODUCT RELEASE HAVE BEEN MET. BASED ON THE AVAILABLE INFORMATION WE ARE NOT ABLE TO IDENTIFY A ROOT CAUSE AT THIS TIME. WE APPRECIATE YOU TAKING THE TIME TO BRING THIS OBSERVATION TO OUR ATTENTION. COMPLAINTS RECEIVED FOR THIS DEVICE AND DEFECT WILL CONTINUE TO BE MONITORED BY OUR QUALITY TEAM FOR SIGNS OF EMERGING TRENDS. H3 OTHER TEXT : SEE MANUFACTURE NARRATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE NEEDLES BROKE. VERBATIM: SRG ¿ VH - TPT1000SP ¿ LOT: 0001449441 - DURING THE CASE THE NEEDLE BROKE OFF. THIS AFTERNOON DR. (B)(6) WAS PREFORMING A THORACENTESIS AND DURING THE CASE THE NEEDLE BROKE OFF. HE THEN PROCEEDED TO GET ANOTHER THORACENTESIS KIT, IN WHICH THE NEEDLE IN THAT KIT BENT AS HE WAS PERFORMING THE PROCEDURE. I'M UNSURE IF IT IS A SPECIFIC LOT OF THESE CAREFUSION THORA/PARA KITS, BUT, I WANTED TO BRING IT TO EVERYONE'S ATTENTION. WAS THE BROKEN NEEDLE AND THE BENT NEEDLE OBSERVED BEFORE USE OR DURING THE USE ON PATIENT? WE USED TWO KITS. WITH THE FIRST KIT THE JOINT WHERE THE NEEDLE AND THE SYRINGE MEET FELT FLIMSY WHICH WAS UNUSUALLY. I STRONGLY SUSPECT THE NEEDLE WAS BENT PRIOR TO USE BUT DID NOT DIRECTLY OBSERVE. WITH THE SECOND KIT, AGAIN THE CATHETER HUB WAS NOT FLUSH AND THIS TIME I DID OBSERVE THAT THE NEEDLE WAS BENT BEFORE USE, BUT WAS STILL PATENT AND OTHERWISE FUNCTION. WHAT WAS THE PROCEDURE THAT WAS BEING PERFORMED? THROACENTESIS. HOW WAS ITEM PIECE RETRIEVED FROM PATIENT/PROCEDURE? THE NEEDLE BROKE AFTER WE HAD REMOVED IT FULLY FROM THE PATIENT. THERE WAS PLEURAL FLUID LEAKING FROM THE POINT WHERE THE NEEDLE MEETS THE SYRINGE BUT NOT GOING INTO THE SYRINGE. THUS WE ABORTED THE PROCEDURE. WITH VERY LIGHT MANIPULATION, ONCE ALL EQUIPMENT WAS REMOVED FROM THE PATIENT, TO INVESTIGATE THE ISSUE, THE NEEDLE BROKE OFF. WAS THERE A MEDICAL PROCEDURE PERFORMED TO VERIFY IF THE INSTRUMENT WAS IN THE PATIENT¿S BODY, SUCH AS AN X-RAY? THERE WAS NO NEED. WHAT WAS THE IMPACT TO THE PATIENT? PROCEDURE COMPLETION WAS DELAYED AS WE HAD TO OBTAIN A SECOND KIT. THUS, ALSO TWO ATTEMPTS WERE NEEDED TO SUCCESSFULLY COMPLETE THE PROCEDURE. THERE WAS NO HARM TO THE PATIENT. WAS THE PROCEDURE COMPLETED AS PLANNED? BECAUSE THE NEEDLE FROM THE SECOND KIT WAS BENT WE HAD TO MODIFY OUR TECHNIQUE SO TO AVOID PUTTING PRESSURE ON THE BENT AREA TO AVOID A REPEAT OF THE COMPLICATION FROM THE INITIAL ATTEMPT.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE NEEDLES BROKE. VERBATIM: SRG ¿ VH - TPT1000SP ¿ LOT: 0001449441 - DURING THE CASE THE NEEDLE BROKE OFF. THIS AFTERNOON DR. (B)(6) WAS PREFORMING A THORACENTESIS AND DURING THE CASE THE NEEDLE BROKE OFF. HE THEN PROCEEDED TO GET ANOTHER THORACENTESIS KIT, IN WHICH THE NEEDLE IN THAT KIT BENT AS HE WAS PERFORMING THE PROCEDURE. I'M UNSURE IF IT IS A SPECIFIC LOT OF THESE CAREFUSION THORA/PARA KITS, BUT, I WANTED TO BRING IT TO EVERYONE'S ATTENTION. WAS THE BROKEN NEEDLE AND THE BENT NEEDLE OBSERVED BEFORE USE OR DURING THE USE ON PATIENT? WE USED TWO KITS. WITH THE FIRST KIT THE JOINT WHERE THE NEEDLE AND THE SYRINGE MEET FELT FLIMSY WHICH WAS UNUSUALLY. I STRONGLY SUSPECT THE NEEDLE WAS BENT PRIOR TO USE BUT DID NOT DIRECTLY OBSERVE. WITH THE SECOND KIT, AGAIN THE CATHETER HUB WAS NOT FLUSH AND THIS TIME I DID OBSERVE THAT THE NEEDLE WAS BENT BEFORE USE, BUT WAS STILL PATENT AND OTHERWISE FUNCTION. WHAT WAS THE PROCEDURE THAT WAS BEING PERFORMED? THROACENTESIS. HOW WAS ITEM PIECE RETRIEVED FROM PATIENT/PROCEDURE? THE NEEDLE BROKE AFTER WE HAD REMOVED IT FULLY FROM THE PATIENT. THERE WAS PLEURAL FLUID LEAKING FROM THE POINT WHERE THE NEEDLE MEETS THE SYRINGE BUT NOT GOING INTO THE SYRINGE. THUS WE ABORTED THE PROCEDURE. WITH VERY LIGHT MANIPULATION, ONCE ALL EQUIPMENT WAS REMOVED FROM THE PATIENT, TO INVESTIGATE THE ISSUE, THE NEEDLE BROKE OFF. WAS THERE A MEDICAL PROCEDURE PERFORMED TO VERIFY IF THE INSTRUMENT WAS IN THE PATIENT¿S BODY, SUCH AS AN X-RAY? THERE WAS NO NEED. WHAT WAS THE IMPACT TO THE PATIENT? PROCEDURE COMPLETION WAS DELAYED AS WE HAD TO OBTAIN A SECOND KIT. THUS, ALSO TWO ATTEMPTS WERE NEEDED TO SUCCESSFULLY COMPLETE THE PROCEDURE. THERE WAS NO HARM TO THE PATIENT. WAS THE PROCEDURE COMPLETED AS PLANNED? BECAUSE THE NEEDLE FROM THE SECOND KIT WAS BENT WE HAD TO MODIFY OUR TECHNIQUE SO TO AVOID PUTTING PRESSURE ON THE BENT AREA TO AVOID A REPEAT OF THE COMPLICATION FROM THE INITIAL ATTEMPT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2208822 SAFE-T PLUS THORACENTESIS/PARACENTESIS THORACENTESIS TRAY PXI CAREFUSION, INC TPT1000SP 0001449441 10885403108433

Patients

Seq Age Sex Outcome Treatment
1 Unknown Other