BEUDAMED
    FDA Adverse Event Injury Summary report: N

    25 GAUGE 2 INCH NEEDLE

    MDR report key: 33506 · Received May 29, 1996

    Report

    Report Number
    33506
    Event Type
    Injury
    Date Received
    May 29, 1996
    Date of Event
    April 30, 1996
    Report Date
    May 29, 1996
    Manufacturer
    CHALGREN ENTERPRISE, INC.
    Product Code
    GXZ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT WAS RECEIVING A NERVE BLOCK TO LEFT FEMORAL CUTANEOUS NERVE WITH NERVE STIMULATOR GUIDANCE. NERVE WAS LOCALIZED TO ELICIT PAIN AND ANESTHETIZED WITH MARCAINE USING A 25 GAUGE 2 INCH NEEDLE. WHEN THE PHYSICIAN ATTEMPTED TO REMOVE THE NEEDLE FROM PT, THE NEEDLE FROM HUB DRAIN REMAINED IN PT AND REQUIRED SURGICAL REMOVAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 25 GAUGE 2 INCH NEEDLE NEEDLE GXZ CHALGREN ENTERPRISE, INC. UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 46 YR Hospitalization