DESIGN OPTIONS®
Received May 8, 2025 · Event occurred Apr 19, 2025
Report 21984581 · MDR key 21984581
Device
Generic name
Epidural Anesthesia Kit
Manufacturer
B. Braun Medical Inc.Model number
552116Catalog number
552116
Lot number
0061981630
Product problems
- Material Split, Cut or Torn
- Physical Resistance/Sticking
Patient
32 YR · Female
- Foreign Body In Patient
- Foreign Body In Patient
Narrative
Description of Event or Problem
LOSS OF RESISTANCE AT APPROX. 6.5CM. UNABLE TO THREAD CATHETER AT 11CM MARK. TRIED TO GENTLY REMOVE CATHETER AND UNABLE TO REMOVE IT. APPEARED "STUCK". ASKED REGISTERED NURSE (RN) TO CALL FOR ASSISTANCE. NO OTHER INTERVENTIONS AT THAT TIME. ANESTHESIA MD CALLED TO BEDSIDE. WHEN CRNA [CERTIFIED REGISTERED NURSE ANESTHETIST] AND MD AT BEDSIDE, CRNA REMOVED TUOHY NEEDLE AND CATHETER APPEARED SHEARED. INNER COIL OF CATHETER DISENGAGED FROM THE CATHETER ITSELF. INNER COIL WAS SEEN OUTSIDE OF THE PATIENT'S BACK. ANESTHESIA MD ATTEMPTED TO REMOVE ENTIRETY OF THE CATHETER, AND THE INNER COIL RIPPED, AND TIP REMAINED IN PATIENTS BACK.