inforMED
MalfunctionICO

COLORADO NEEDLE, 3 CM STRAIGHT (3/32") SLEEVE

Received Mar 24, 2023 · Event occurred Mar 2, 2023

Report 0008010177-2023-00015 · MDR key 16610244

Device

Generic name

Instrument

Model number

N103A

Catalog number

N103A

Lot number

22203047

Product problems

  • Fracture
  • Fracture

Patient

Unknown

  • Foreign Body In Patient
  • Foreign Body In Patient

Narrative

Additional Manufacturer Narrative

UPDATE: THE REPORTED EVENT COULD BE NOT CONFIRMED, BECAUSE OF THE DEVICE HAS NOT BEEN RETURNED. H3 OTHER TEXT: DISCARDED.

Description of Event or Problem

IT WAS REPORTED THAT DURING THE PROCEDURE, IT WAS NOTICED THE NEEDLE BROKE OFF INTO THE PATIENT AND THE TIP COULD NOT BE LOCATED DUE TO SIZE. THE PROCEDURE WAS COMPLETED SUCCESSFULLY. THERE WAS NO CLINICALLY SIGNIFICANT DELAY, NO MEDICAL INTERVENTION, AND NO ADVERSE CONSEQUENCES REPORTED.

Additional Manufacturer Narrative

DEVICE IS NOT AVAILABLE FOR EVALUATION. IF ADDITIONAL INFORMATION IS RECEIVED IT WILL BE REPORTED ON A SUPPLEMENTAL REPORT.

Description of Event or Problem

IT WAS REPORTED THAT DURING THE PROCEDURE, IT WAS NOTICED THE NEEDLE BROKE OFF INTO THE PATIENT AND THE TIP COULD NOT BE LOCATED DUE TO SIZE. THE PROCEDURE WAS COMPLETED SUCCESSFULLY. THERE WAS NO CLINICALLY SIGNIFICANT DELAY, NO MEDICAL INTERVENTION, AND NO ADVERSE CONSEQUENCES REPORTED.