BEUDAMED
    FDA Adverse Event Summary report: N

    30328 13GX3 IN BN MARR SC NEEDLE

    MDR report key: 547417 · Received April 2, 2004

    Report

    Report Number
    1282497-2004-00007
    Date Received
    April 2, 2004
    Date of Event
    January 27, 2004
    Report Date
    April 1, 2004
    Manufacturer
    OUTSIDE VENDOR-RANFAC CORPORATION
    Product Code
    KNW
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    A PIECE OF METAL BROKE OFF THE NEEDLE DURING A BONE MARROW BIOPSY PROCEDURE AND WAS RETRIEVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 30328 13GX3 IN BN MARR SC NEEDLE BONE MARROW BIOPSY NEEDLE KNW OUTSIDE VENDOR-RANFAC CORPORATION * 10887

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other