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 |