BEUDAMED
    FDA Adverse Event Other Summary report: N

    PORTEX CONTINUOUS EPIDURAL 17 GAUGE TUOHY

    MDR report key: 743626 · Received June 1, 2005

    Report

    Report Number
    MW1035599
    Event Type
    Other
    Date Received
    June 1, 2005
    Date of Event
    May 16, 2005
    Report Date
    May 27, 2005
    Manufacturer
    SMITHS MEDICAL ASD, INC
    Product Code
    MIA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OK
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    CRNA ATTEMPTING TO PLACE CONTINUOUS EPIDURAL FOR PT DURING LABOR. AFTER PLACING THE NEEDLE, THE CRNA ATTEMPTED TO CONNECT NEEDLE TO TUBING. THE NEEDLE WOULD NOT CONNECT SECURELY TO THE PHLANGE OF THE SYRINGE DUE TO BREAKAGE AROUND THE NECK OF THE NEEDLE. THE CRNA HAD TO REMOVE THE NEEDLE AND REPLACE IT WITH A NEW ONE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PORTEX CONTINUOUS EPIDURAL 17 GAUGE TUOHY TUOHY EPIDURAL NEEDLE MIA SMITHS MEDICAL ASD, INC A3165-17 *

    Patients

    Seq Age Sex Outcome Treatment
    1 32 YR Other