inforMED
MalfunctionIQE

ADULT LUMBAR PUNCTURE TRAY 20X3 1/2

Received May 24, 2001 · Event occurred Apr 20, 2001

Report 1423507-2001-00162 · MDR key 334639

Device

Generic name

Procedure Tray

Model number

4301C

Catalog number

4301C

Lot number

L0P049

Product problems

  • Leak/Splash
  • Unable to Obtain Readings
  • Replace
  • Stopcock valve, failure of

Patient

6 YR

  • Surgical procedure, repeated

Narrative

Description of Event or Problem

SPOKE WITH ASST. NURSE MGR ON 4/30/01, WHO STATED ON THE DAY OF THE EVENT, A PT HAD A LUMBAR PUNCTURE PERFORMED. THE STOPCOCK LEAKED AND THEY WERE UNABLE TO OBTAIN A PRESSURE READING. THEY OPENED ANOTHER KIT AND HAD THE SAME EXPERIENCE. THEY SCHEDULED A FOLLOW UP LUMBAR PUNCTURE FOR THE FOLLOWING TUESDAY. AT THAT TIME, THE CHILD HAD THE THIRD LUMBAR PUNCTURE, AND THEY WERE ABLE TO OBTAIN A PRESSURE READING AND NOTED THAT THE EXTENSION TUBING WAS LEAKING.