FDA Adverse Event Injury Summary report: N

UNKNOWN BIOPSY NEEDLE

MDR report key: 15180682 · Received August 7, 2022

Report

Report Number
1220592-2022-00003
Event Type
Injury
Date Received
August 7, 2022
Date of Event
July 4, 2022
Report Date
August 7, 2022
Manufacturer
HOBBS MEDICAL, INC.
Product Code
GAA
PMA / PMN Number
K860582
Report Source
Manufacturer report
Reporter Location
HK
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

DISTRIBUTOR OBTAINED ADDITIONAL PRODUCT/LOT INFORMATION TO HOBBS AFTER THE DATE OF THE HOBBS' INITIAL 3500A REPORT THAT REVEALED THE INCIDENT DID NOT INVOLVE A HOBBS-OWNED PRODUCT.

Description of Event or Problem · 0

ACCORDING TO THE REPORTER, DURING THE BIOPSY ON THE RIGHT LUNG (GROUND GLASS OPACITIES), NEEDLE AND FORCEPS WERE USED AND NO BLEEDING WAS FOUND. WHEN THE PROCEDURE ENDED AND THE SURGEON WAS DOING MINI BRONCHOALVEOLAR LAVAGE SAMPLING FOR THE SECOND TIME, BLEEDING WAS FOUND ON THE SECOND TIME. 600 MILLILITERS OF BLOOD LOSS WAS REPORTED. THE PATIENT IS ALIVE WITH 2 DAYS STAY IN HOSPITAL. ONE DAY FOR OBSERVATION AND ANOTHER DAY FOR CHEST X-RAY BEFORE DISCHARGE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
302219 UNKNOWN BIOPSY NEEDLE UNKNOWN BIOPSY NEEDLE GAA HOBBS MEDICAL, INC. SD07-20-038

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention| H