inforMED
InjuryGXZ

TECHNOMED EUROPE

Received Nov 15, 2021 · Event occurred Nov 10, 2021

Report 9710376-2021-00002 · MDR key 12811651

Device

Generic name

Disposable Subdermal Needle Electrode, Corkscrew

Manufacturer

Technomed Europe

Model number

TE/S50715-001

Catalog number

TE/S50715-001

Lot number

049662

Product problems

  • Material Separation
  • Material Separation

Patient

Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

THE CORKSCREW ELECTRODE WAS INSERTED INTO A PATIENT'S SCALP, WAS REMOVED, AND SUBSEQUENTLY REPOSITIONED IN ANOTHER POSITION IN THE PATIENT'S SCALP. UPON SCREWING THE ELECTRODE BACK IN, THE HEALTH PROFESSIONAL NOTICED THAT IT WAS SCREWING BUT NOT STOPPING (INDICATES IT IS IN), TOOK HER HAND AWAY TO CHECK IF IT WAS IN, AND THE PLASTIC CAP AND CORD CAME AWAY WITH NO NEEDLE INSIDE. THE HEALTH PROFESSIONAL OBSERVED THAT THE NEEDLE ELECTRODE WAS STILL LODGED IN THE PATIENT'S SCALP. THEREAFTER, ATTEMPTS WERE MADE TO REMOVE THE NEEDLE ELECTRODE WITH FORCEPS, BUT EVENTUALLY A SMALL INCISION HAD TO BE MADE IN ORDER TO BE ABLE TO REMOVE THE NEEDLE ELECTRODE FROM THE SCALP.

Description of Event or Problem

THE CORKSCREW ELECTRODE WAS INSERTED INTO A PATIENT'S SCALP, WAS REMOVED, AND SUBSEQUENTLY REPOSITIONED IN ANOTHER POSITION IN THE PATIENT'S SCALP. UPON SCREWING THE ELECTRODE BACK IN, THE HEALTH PROFESSIONAL NOTICED THAT IT WAS SCREWING BUT NOT STOPPING (INDICATES IT IS IN), TOOK HER HAND AWAY TO CHECK IF IT WAS IN, AND THE PLASTIC CAP AND CORD CAME AWAY WITH NO NEEDLE INSIDE. THE HEALTH PROFESSIONAL OBSERVED THAT THE NEEDLE ELECTRODE WAS STILL LODGED IN THE PATIENT'S SCALP. THEREAFTER, ATTEMPTS WERE MADE TO REMOVE THE NEEDLE ELECTRODE WITH FORCEPS, BUT EVENTUALLY A SMALL INCISION HAD TO BE MADE IN ORDER TO BE ABLE TO REMOVE THE NEEDLE ELECTRODE FROM THE SCALP.

Description of Event or Problem

THE CORKSCREW ELECTRODE WAS INSERTED INTO A PATIENT'S SCALP, WAS REMOVED, AND SUBSEQUENTLY REPOSITIONED IN ANOTHER POSITION IN THE PATIENT'S SCALP. UPON SCREWING THE ELECTRODE BACK IN, THE HEALTH PROFESSIONAL NOTICED THAT IT WAS SCREWING BUT NOT STOPPING (INDICATES IT IS IN), TOOK HER HAND AWAY TO CHECK IF IT WAS IN, AND THE PLASTIC CAP AND CORD CAME AWAY WITH NO NEEDLE INSIDE. THE HEALTH PROFESSIONAL OBSERVED THAT THE NEEDLE ELECTRODE WAS STILL LODGED IN THE PATIENT'S SCALP. THEREAFTER, ATTEMPTS WERE MADE TO REMOVE THE NEEDLE ELECTRODE WITH FORCEPS, BUT EVENTUALLY A SMALL INCISION HAD TO BE MADE IN ORDER TO BE ABLE TO REMOVE THE NEEDLE ELECTRODE FROM THE SCALP.

Additional Manufacturer Narrative

THE CORKSCREW ELECTRODE WAS INSERTED INTO A PATIENT'S SCALP, WAS REMOVED, AND SUBSEQUENTLY REPOSITIONED IN ANOTHER POSITION IN THE PATIENT'S SCALP. UPON SCREWING THE ELECTRODE BACK IN, THE HEALTH PROFESSIONAL NOTICED THAT IT WAS SCREWING BUT NOT STOPPING (INDICATES IT IS IN), TOOK HER HAND AWAY TO CHECK IF IT WAS IN, AND THE PLASTIC CAP AND CORD CAME AWAY WITH NO NEEDLE INSIDE. THE HEALTH PROFESSIONAL OBSERVED THAT THE NEEDLE ELECTRODE WAS STILL LODGED IN THE PATIENT'S SCALP. THEREAFTER, ATTEMPTS WERE MADE TO REMOVE THE NEEDLE ELECTRODE WITH FORCEPS, BUT EVENTUALLY A SMALL INCISION HAD TO BE MADE IN ORDER TO BE ABLE TO REMOVE THE NEEDLE ELECTRODE FROM THE SCALP. THIS IS A FINAL REPORT (FOLLOW-UP NUMBER 1), INITIAL REPORT NUMBER: 9710376-2021-00002.

Remedial action

  • Recall