inforMED
MalfunctionOJT

CUSTOM HEALTHCARE SYSTEMS, INC

Received Oct 18, 2021 · Event occurred Sep 20, 2021

Report 12646903 · MDR key 12646903

Device

Generic name

Aspiration Tray

Model number

3805396

Catalog 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.