FDA Adverse Event
Injury
Summary report: N
EPIMED EPIDURAL CATHETER
MDR report key: 21731528
·
Received March 31, 2025
Report
- Report Number
- MW5168419
- Event Type
- Injury
- Date Received
- March 31, 2025
- Date of Event
- March 14, 2025
- Report Date
- March 26, 2025
- Manufacturer
- EPIMED INTERNATIONAL, INC.
- Product Code
- BSO
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- FL, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
WHILE REMOVING THE EPIDURAL CATHETER IN THE PHYSICIAN OFFICE, CATHETER BROKE AT THE SKIN SITE, LEAVING A REMNANT BEHIND. RETAINED LUMBAR CATHETER REQUIRED SURGICAL REMOVAL IN A HOSPITAL SETTING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1055477 | EPIMED EPIDURAL CATHETER | CATHETER, CONDUCTION, ANESTHETIC | BSO | EPIMED INTERNATIONAL, INC. | 114213312 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 61 YR | Male | Hospitalization |