inforMED
MalfunctionOJT

ASPIRATION TRAY

Received Nov 14, 2024 · Event occurred Oct 7, 2024

Report 20682929 · MDR key 20682929

Device

Generic name

Aspiration Tray

Manufacturer

Manus Medical, Llc

Catalog number

3805396

Lot number

67147

Patient

1 MO · Male

  • Hemorrhage/Blood Loss/Bleeding
  • Discomfort
  • Hemorrhage/Blood Loss/Bleeding
  • Discomfort

Narrative

Description of Event or Problem

I WAS COMPLETING A BONE MARROW BIOPSY PROCEDURE AND ASPIRATING THE BONE MARROW ASPIRATE. DURING THE BONE MARROW ASPIRATION, THE TROCHAR LUER LOCK HUB SNAPPED/SPLIT IN HALF DURING ASPIRATION. I WAS UNABLE TO COMPLETE THE ASPIRATION DUE TO AIR FILLING THE SYRINGE. I HAD TO REMOVE MY NEEDLE OBTAIN A NEW TROCHAR NEEDLE AND REINSERT IT TO COMPLETE THE PROCEDURE. THIS CAUSED INCREASED PATIENT DISCOMFORT AND BLEEDING DUE TO SECOND INSERTION OF THE NEW TROCHAR NEEDLE AT THE BIOPSY SITE.