FDA Adverse Event Injury Summary report: N

NA

MDR report key: 3032501 · Received April 1, 2013

Report

Report Number
1036844-2013-00113
Event Type
Injury
Date Received
April 1, 2013
Date of Event
March 8, 2013
Report Date
March 27, 2013
Manufacturer
ARROW INTL., INC.
Product Code
CAZ
PMA / PMN Number
UNK
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE SAMPLE WAS DISCARDED.

Description of Event or Problem · 1

IT WAS REPORTED THAT OB, DURING THE INSERTION OF THE EPIDURAL CATHETER, THE FEMALE PT ENDURED A "WET TAP", ACCIDENTAL PUNCTURE OF THE DURA MATER DURING INJECTION OF EPIDURAL ANESTHESIA, WHICH IN TURN LEAD TO A SEVERE HEAD ACHE. AS A RESULT, A BLOOD PATCH WAS REQUIRED. DAYS LATER, THIS PT REQUIRED A SECOND BLOOD PATCH AND IS NOW DOING FINE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
132897 NA ANESTHESIA PRODUCTS CAZ ARROW INTL., INC. NA

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention BLOOD PATCH