FDA Adverse Event Malfunction Summary report: N

RBN-114

MDR report key: 4168560 · Received October 14, 2014

Report

Report Number
1211566-2014-00013
Event Type
Malfunction
Date Received
October 14, 2014
Date of Event
August 29, 2014
Report Date
October 10, 2014
Manufacturer
RANFAC CORP.
Product Code
KNW
PMA / PMN Number
K983187
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
DA
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

UPON RECEIPT, DEVICES WERE CONTAMINATED. PROBE WAS INSERTED, AND WE FOUND IT DIFFICULT TO PUSH OUT THE SPECIMEN. WITH EXTRA FORCE, WE REMOVED THE SPECIMEN, HOWEVER, THERE WAS MINIMAL SPECIMEN PRESENT. BONE FRAGMENTS WERE FOUND INSIDE EACH OF THE SNARES CAUSING THE SNARE NOT TO BE ABLE TO MOVE FREELY, AND DID NOT ALLOW THE SPECIMEN TO ENTER INTO THE CANNULA. REMOVING THE STYLET TOO EARLY IS THE MOST LIKELY CAUSE OF BONE FRAGMENTS ENTERING THE CANNULA AND JAMMING THE SNARE. WE WILL COMMUNICATE THESE FINDINGS WITH THE CUSTOMER VIA THIS CORRECTIVE ACTION.

Description of Event or Problem · 1

PER (B)(6), "CANNOT RETRIEVE SPECIMEN."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
650714 RBN-114 BONE BIOPSY NEEDLE 11 GAUGE KNW RANFAC CORP. 74092-01M 29085B19

Patients

Seq Age Sex Outcome Treatment
1