MalfunctionOJT
CUSTOM HEALTHCARE SYSTEMS, INC
Received Oct 18, 2021 · Event occurred Sep 20, 2021
Report 12646903 · MDR key 12646903
Device
Generic name
Aspiration Tray
Manufacturer
Custom Healthcare Systems, Inc.Model number
3805396Catalog number
3805396
Lot number
207957
Product problems
- Difficult to Open or Close
- Material Twisted/Bent
- Therapeutic or Diagnostic Output Failure
Patient
29930 DA
- Insufficient Information
- Insufficient Information
Narrative
Description of Event or Problem
BONE MARROW BIOPSY KIT FAILURE RESULTING IN COMPROMISED SPECIMEN. WHILE PERFORMING A BONE MARROW BIOPSY ON THIS PATIENT, THE CUTTING NEEDLE TWISTED TO SUCH AN EXTENT THAT IT WAS BENT AND CLOSED OFF AND THE BONE MARROW CORE COULD NOT BE REMOVED IN STANDARD FASHION. MUCH OF THE CORE BECAME FRAGMENTED AND CRUSHED WHILE TRYING TO FREE IT FROM THE CUTTING NEEDLE, AND THE REMAINING CORE WAS NOT ABLE TO BE INTERPRETED BY THE PATHOLOGIST. THE PATIENT MAY REQUIRE THE PROCEDURE TO BE REPEATED DUE TO THE DEVICE FAILURE.