BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CAREFUSION PLEURX KIT

    MDR report key: 3503591 · Received December 3, 2013

    Report

    Report Number
    MW5033277
    Event Type
    Injury
    Date Received
    December 3, 2013
    Date of Event
    November 21, 2013
    Report Date
    December 2, 2013
    Manufacturer
    CAREFUSION
    Product Code
    DWM
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    YUEH NEEDLE SHEATH SHEARED OFF IN THE PT. A GOOSENECK TYPE SNARE DEVICE WAS UTILIZED TO CAPTURE THE SEARED OFF PIECE. THE PT REQUIRED NO F/U RELATED TO THIS INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    624627 CAREFUSION PLEURX KIT YUEH NEEDLE SHEATH DWM CAREFUSION REF. # 50-9000B 0000551042

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR Required Intervention