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 |