inforMED
MalfunctionHWQ

AR-13995N @MULTIFIRE SCORPION NDL

Received Aug 14, 2020 · Event occurred Jul 23, 2020

Report 3032391-2020-00010 · MDR key 10407855

Device

Generic name

Ar-13995n @multifire Scorpion Ndl

Manufacturer

Medline Renewal

Catalog number

AR13995NRH

Product problems

  • Break
  • Device Fell

Patient

Not reported

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

IT WAS REPORTED THAT DURING AN UNIDENTIFIED PROCEDURE, THE TIP OF THE SCORPION NEEDLE BROKE OFF AND FELL INTO THE SURGICAL SITE. DESPITE MULTIPLE GOOD FAITH-ATTEMPTS THE REPORTING FACILITY WAS UNABLE OR UNWILLING TO PROVIDE ADDITIONAL PATIENT, PRODUCT, OR PROCEDURAL INFORMATION. NO INFORMATION HAS BEEN PROVIDED RELATED TO HOW THE SCORPION NEEDLE WAS BEING USED AT THE TIME OF THE INCIDENT OR HOW THE BROKEN TIP WAS RETRIEVED FROM THE SURGICAL SITE. NO ADVERSE IMPACT TO THE PROCEDURE OR TO THE PATIENT HAS BEEN REPORTED. NO SAMPLE WAS RETURNED FOR EVALUATION. A ROOT CAUSE FOR THE REPORTED INCIDENT WAS UNABLE TO BE DETERMINED. DUE TO THE REPORTED INCIDENT, AND IN AN ABUNDANCE OF CAUTION, THIS MEDWATCH IS BEING FILED. IF ADDITIONAL RELEVANT INFORMATION BECOMES AVAILABLE A SUPPLEMENTAL MEDWATCH WILL BE FILED.

Description of Event or Problem

IT WAS REPORTED THAT THE TIP OF THE SCORPION NEEDLE BROKE OFF AND FELL INTO THE SURGICAL SITE.

Additional Manufacturer Narrative

ON (B)(6) 2020 UNUSED PRODUCT SAMPLES IN UNOPENED PACKAGING FROM THE REPORTING FACILITY WERE RECEIVED FOR EVALUATION. THE UNUSED PRODUCT SAMPLES WERE FROM LOTS: 438408, 439083, 434082, 437268, AND 433286. THE USED DEVICE INVOLVED IN THE INCIDENT WAS REPORTEDLY DISCARDED AN UNAVAILABLE FOR RETURN AND EVALUATION. NO ISSUES WERE OBSERVED WITH THE RETURNED UNUSED PRODUCT SAMPLES. A REVIEW OF THE DEVICE HISTORY RECORD FOR THE RETURNED LOTS WAS PERFORMED AND NO NON-CONFORMANCES IN REQUIRED PROCESSES AT THE TIME OF REPROCESSING WERE IDENTIFIED. A ROOT CAUSE FOR THE REPORTED INCIDENT WAS UNABLE TO BE DETERMINED. IF ADDITIONAL RELEVANT INFORMATION BECOMES AVAILABLE ANOTHER SUPPLEMENTAL MDR WILL BE FILED.