inforMED
MalfunctionOGE

PERIFIX®

Received Aug 13, 2024 · Event occurred Jun 21, 2024

Report 2523676-2024-00747 · MDR key 19973222

Device

Generic name

Epidural Anesthesia Kit

Catalog number

332220

Product problems

  • Break
  • Break

Patient

35 YR · Female

  • Foreign Body In Patient
  • Foreign Body In Patient

Narrative

Additional Manufacturer Narrative

THIS REPORT HAS BEEN IDENTIFIED AS B. BRAUN MEDICAL INTERNAL REPORT NUMBER (B)(4). NO SAMPLE WAS PROVIDED FOR EVALUATION. BASED ON THE DATA FROM THE INVESTIGATION WE ARE UNABLE TO DETERMINE THE ROOT CAUSE OF THE REPORTED INCIDENT. THE REPORTED DEFECT WAS UNABLE TO BE CONFIRMED. WE WILL MAINTAIN THIS REPORT FOR FURTHER REFERENCES AND CONTINUE TO MONITOR OTHER REPORTS FOR SIMILAR OCCURRENCES. IF ANY ADDITIONAL PERTINENT INFORMATION BECOMES AVAILABLE, A FOLLOW UP WILL BE SUBMITTED.

Description of Event or Problem

AS DESCRIBED IN MW5156758: DESCRIBE EVENT OR PROBLEM: APPROXIMATELY 5CM OF CATHETER TIP WAS SHEARED OFF IN PATIENT'S SPINAL COLUMN DURING EPIDURAL CATHETER PLACEMENT REQUIRING MULTIPLE IMAGING STUDIES.