MalfunctionOGE
PERIFIX CONTINUAL EPIDURAL ANESTHESIA TRAY 20 GA CLOSED SOFT TIP EPIDURAL CATHET
Received Sep 29, 2025 · Event occurred Aug 18, 2025
Report MW5176732 · MDR key 23169102
Device
Product problems
- Component Missing
- Detachment of Device or Device Component
Patient
36 YR · Female
- Insufficient Information
- Insufficient Information
Narrative
Description of Event or Problem
DURING AN EPIDURAL PLACEMENT- PRACTITIONER PULLED OUT THE TUOHY NEEDLE ATTEMPTING TO LEAVE THE CATHETER IN PLACE BUT NOTICED THAT THE CATHETER PULLED OUT WITH THE TUOHY. UPON EXAMINING THE CATHETER CLOSELY, IT WAS NOTICED THAT THE TIP WAS MISSING. THE PROCEDURE WAS ABORTED AT THAT POINT. MEASURED THE MISSING PORTION OF THE CATHETER WHICH I APPROXIMATE TO BE 4-4.5CM.