FDA Adverse Event Other Summary report: N

UNIEVER DISPOSABLE SPINAL ANESTHESIA NEEDLE

MDR report key: 3810192 · Received April 28, 2014

Report

Report Number
9681709-2014-00006
Event Type
Other
Date Received
April 28, 2014
Date of Event
March 14, 2014
Report Date
April 7, 2014
Manufacturer
UNISIS CORP.
Product Code
BSP
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PL
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

WE WILL SUBMIT THE FOLLOW UP REPORT AS SOON AS WE FINISH INVESTIGATION.

Description of Event or Problem · 1

ON (B)(6) 2014, LUMBAR PUNCTURE WAS CONDUCTED WITH (B)(6) YEARS OLD BOY. SUSPICION: MENINGITIS. DURING PROCEDURE, NEEDLE BENT AND IT WAS DIFFICULT TO REMOVE THE NEEDLE. THE NEEDLE FORMED A BENT ANGLE ABOUT 120 DEGREES. AS IT WAS DIFFICULT TO PULL OUT THE NEEDLE FROM THE SPINAL CANAL, IT IS POSSIBLE THAT DAMAGE OF SURROUNDING TISSUES HAVE OCCURRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
253653 UNIEVER DISPOSABLE SPINAL ANESTHESIA NEEDLE SPINAL NEEDLE BSP UNISIS CORP. 12I041

Patients

Seq Age Sex Outcome Treatment
1 5 YR