BEUDAMED
    FDA Adverse Event Other Summary report: N

    NEEDLE 11GA X 4" JAMSHIDI

    MDR report key: 609873 · Received June 1, 2005

    Report

    Report Number
    1423507-2005-00076
    Event Type
    Other
    Date Received
    June 1, 2005
    Date of Event
    April 18, 2005
    Report Date
    June 1, 2005
    Manufacturer
    CARDINAL HEALTH
    Product Code
    FCG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SN
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    NEEDLE BROKE DURING PROCEDURE. 5CM OF NEEDLE EMBEDDED INSIDE ILIAC BONE OF PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NEEDLE 11GA X 4" JAMSHIDI BIOPSY NEEDLE FCG CARDINAL HEALTH DJ4011X *

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other