FDA Adverse Event
Malfunction
Summary report: N
PORTEX® SPINAL ANESTHESIA TRAYS
MDR report key: 7550684
·
Received May 29, 2018
Report
- Report Number
- 3012307300-2018-10199
- Event Type
- Malfunction
- Date Received
- May 29, 2018
- Date of Event
- August 22, 2016
- Report Date
- May 29, 2018
- Manufacturer
- SMITHS MEDICAL ASD, INC.
- Product Code
- CAZ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WA, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT AFTER PLACING THE SAB WITH STANDARD TECHNIQUE, ABOUT 25 MINUTES ELAPSED FROM THE BLOCK TO THE SURGICAL PROCEDURE. WHEN THE INCISION WAS MADE, IT WAS APPARENT THAT PATIENT WAS FEELING PAIN. THIS HAPPENED ON TWO DIFFERENT PATIENTS. ON BOTH OCCASIONS, THE CLINICIAN HAD TO CONVERT TO GENERAL ANESTHESIA IN ORDER TO CONTINUE WITH SURGERY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 391593 | PORTEX® SPINAL ANESTHESIA TRAYS | ANESTHESIA CONDUCTION KIT | CAZ | SMITHS MEDICAL ASD, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |