inforMED
InjuryGXZ

RLSND121-2.5

Received Jun 10, 2022 · Event occurred May 11, 2022

Report 1067162-2022-00003 · MDR key 14654295

Device

Generic name

Subdermal Needle Electrode

Model number

RLSND121-2.5

Catalog number

RLSND121-2.5

Lot number

PM00020288 OR PM00020061

Product problems

  • Detachment of Device or Device Component
  • Detachment of Device or Device Component

Patient

Unknown

  • Foreign Body In Patient
  • Foreign Body In Patient

Narrative

Additional Manufacturer Narrative

THE CUSTOMER REPORTED THAT A TECHNICIAN REMOVED THE LEAD FROM THE PATIENT, THE NEEDLE WAS DETACHED FROM THE LEAD, AND THE NEEDLE REMAINED IN THE PATIENT'S SKIN. THE CUSTOMER STATED THE PRODUCT WAS RLSND121-2.5, BUT WAS UNSURE OF THE LOT NUMBER (PM00020288 OR PM00020061).