FDA Adverse Event Injury Summary report: N

PENCAN

MDR report key: 3896919 · Received June 3, 2014

Report

Report Number
2523676-2014-00215
Event Type
Injury
Date Received
June 3, 2014
Date of Event
April 29, 2014
Report Date
April 29, 2014
Manufacturer
B. BRAUN MELSUNGEN AG
Product Code
CAZ
Adverse Event
Yes
Product Problem
Yes
Report Source
Distributor report
Reporter Location
NL
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

AS REPORTED BY THE USER FACILITY (TRANSLATION OF USER FACILITY INFORMATION BY BBM SALES ORGANIZATION IN (B)(6)): FIRST NEEDLE WAS BENT. THE ANESTHESIOLOGIST USED ANOTHER NEEDLE ON AN OTHER LEVEL. THE BROKEN PART IS LEFT IN THE MUSCLE OF THE PATIENT. THE NEUROSURGEON AND ANESTHESIOLOGIST LOOKED AT THE POSITION OF THE BROKEN NEEDLE PART AND CONCLUDED THAT THERE IS NO REASON AND RISK AT THIS MOMENT TO REMOVE THIS PART. MFR # 9610825-2014-00215.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
325353 PENCAN SPINAL NEEDLE CAZ B. BRAUN MELSUNGEN AG NA 3L14298B21

Patients

Seq Age Sex Outcome Treatment
1 UNK Other