inforMED
InjuryFSH

JAMSHIDI NEEDLE BONE MARROW 11GX4 ASP

Received Mar 20, 2015 · Event occurred Feb 6, 2015

Report 9680904-2015-00054 · MDR key 4619542

Device

Generic name

Tray, Surgical, Needle

Manufacturer

Carefusion

Model number

DJ4011X

Lot number

0000602145

Product problems

  • Break
  • Detachment Of Device Component

Patient

Not reported

  • Device Embedded In Tissue or Plaque

Narrative

Description of Event or Problem

DURING A BIOPSY, THE NEEDLE IS BROKEN AND A PART IS STILL IN THE PATIENT. NEED FOR SURGICAL INTERVENTION FOR EXTRACTION. NO ADDITIONAL INFORMATION PROVIDED.

Additional Manufacturer Narrative

(B)(4): FAILURE MODE COULD NOT BE CONFIRMED BECAUSE SAMPLES WERE NOT RECEIVED FOR EVALUATION. A REVIEW OF THE INTERNAL MANUFACTURING DEVICE RECORD AND RAW MATERIAL HISTORY FILES FOR THE REPORTED LOT NUMBER WAS PERFORMED AND NO RECORDED QUALITY PROBLEMS OR REJECTIONS RELATED TO THIS INCIDENT WERE FOUND. IT WAS CONFIRMED THAT PROCEDURAL AND FUNCTIONAL REQUIREMENTS NEEDED FOR ITS RELEASE WERE MET. BASED ON THE INVESTIGATION RESULTS, A DEFINITIVE ROOT CAUSE COULD NOT BE IDENTIFIED FOR THE REPORTED FAILURE MODE SINCE SAMPLES WERE NOT RETURNED FOR ANALYSIS. THE ISSUE WILL CONTINUE TO BE TRACKED AND TRENDED.

Additional Manufacturer Narrative

(B)(4): IF FURTHER INFORMATION BECOMES AVAILABLE A FOLLOW UP MEDWATCH WILL BE SUBMITTED.