FDA Adverse Event Malfunction Summary report: N

JAMSHIDI BONE MARROW TRAY 11G X4 15G ASP

MDR report key: 24580073 · Received March 12, 2026

Report

Report Number
1423507-2026-00041
Event Type
Malfunction
Date Received
March 12, 2026
Date of Event
February 19, 2026
Report Date
March 2, 2026
Manufacturer
CAREFUSION, INC
Product Code
KNW
UDI-DI
10885403057236
PMA / PMN Number
SEE H.11.
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H11. NO PHOTOS OR SAMPLES WERE RECEIVED BY OUR QUALITY TEAM FOR EVALUATION THEREFORE THE FAILURE MODE COULD NOT BE VERIFIED. A DEVICE HISTORY RECORD COULD NOT BE EVALUATED AS THE LOT NUMBER IS UNKNOWN. BASED ON THE AVAILABLE INFORMATION WE ARE NOT ABLE TO IDENTIFY A ROOT CAUSE AT THIS TIME. THE COMPLAINT HAS BEEN LOGGED IN THE COMPLAINT MANAGEMENT SYSTEM AND WILL BE MONITORED THROUGH TRACKING, TRENDING, AND QUALITY DATA ANALYSIS FOR POTENTIAL FUTURE OCCURRENCES. D.4. MEDICAL DEVICE EXPIRATION DATE: UNKNOWN H.4. DEVICE MANUFACTURE DATE: UNKNOWN B3 (DATE OF EVENT: DATE OF AWARENESS WAS ENTERED IN THE DATE OF EVENT FIELD AS THE ACTUAL DATE OF EVENT IS UNKNOWN). G4: PMA/510K : K171531;K813338. D2: PROCODE: FSH;KNW. SECTION A THROUGH F ¿ THE INFORMATION PROVIDE BY BD REPRESENTS ALL THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT/REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO BD.

Description of Event or Problem · 0

THE CUSTOMER REPORTED THAT CERTAIN COMPONENTS WITHIN THE JAMSHIDI BONE MARROW TRAY 11G X 4, 15G ASP WERE FOUND TO BE DUSTY OR DIRTY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
222873 JAMSHIDI BONE MARROW TRAY 11G X4 15G ASP INSTRUMENT, BIOPSY KNW CAREFUSION, INC UNKNOWN 10885403057236

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown