JAMSHIDI * BAK4511

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-01-07 for JAMSHIDI * BAK4511 manufactured by Cardinal Health.

Event Text Entries

[1273392] The physician was attempting to pull biopsy needle out after bone core samples were taken and the biopsy needle broke off. A fragment of the needle was left in the patient. Both physicians consulted and came to agreement to leave the needle. The parents of the patient were notified. Manufacturer response (as per reporter) for bone marrow aspiration needle, jamshidi:she will come in and look at the broken device, maybe take photos.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1580417
MDR Report Key1580417
Date Received2010-01-07
Date of Report2010-01-07
Date of Event2009-12-02
Report Date2010-01-07
Date Reported to FDA2010-01-07
Date Added to Maude2010-01-19
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameJAMSHIDI
Generic NameBONE MARROW ASPIRATION NEEDLE
Product CodeLWE
Date Received2010-01-07
Model Number*
Catalog NumberBAK4511
Lot NumberL9J293
ID Number*
Device AvailabilityY
Device Age1 DY
Device Sequence No1
Device Event Key0
ManufacturerCARDINAL HEALTH
Manufacturer Address4551 E PHILADELPHIA ST ONTARIO CA 92881 US 92881


Patients

Patient NumberTreatmentOutcomeDate
10 2010-01-07

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