BEUDAMED
    FDA Adverse Event Other Summary report: N

    JAMSHIDI

    MDR report key: 786170 · Received June 20, 2006

    Report

    Report Number
    MW1041115
    Event Type
    Other
    Date Received
    June 20, 2006
    Date of Event
    June 6, 2006
    Report Date
    June 20, 2006
    Manufacturer
    ALLEGIANCE HEALTHCARE
    Product Code
    KNW
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    JAMSHIDI (REF TJC 3513 PHARMASETL 1BG 3.5) BENT IN 2 PLACES WHEN BONE MARROW BIOPSY WAS PERFORMED. THE JAMSHIDI NEEDLE SUDDENLY BUCKLED, MUCH LIKE METAL FATIGUE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 JAMSHIDI BONE MARROW BIOPSY KNW ALLEGIANCE HEALTHCARE * *

    Patients

    Seq Age Sex Outcome Treatment
    1 10 YR Other