JAMSHIDI (TJ) BONE MARROW TRAY 11GX4 MAC BCTM3411

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2010-03-25 for JAMSHIDI (TJ) BONE MARROW TRAY 11GX4 MAC BCTM3411 manufactured by Carefusion.

Event Text Entries

[1293227] Customer stated, "the oncologist hematologist states that it is difficult to release the bone marrow after she has extracted it from the bone marrow. In one bone marrow procedure, the doctor stuck herself with the needle attempting to get the bone marrow out for the lab. "
Patient Sequence No: 1, Text Type: D, B5


[8540519] A complaint sample was not provided for eval; therefore, we are unable to determine the exact cause for the issue reported. A lot number was not reported; therefore, a device history review could not be performed. Improvements to this product have been made to the mfg process of the biopsy needle to minimize the reoccurrence of the super retention failure mode. These improvements included a narrowing of certain mfg specifications with regards to the grinding and forming operation of the needle. Since a lot number was not provided, we are unable to determine if this device was produced with these product improvements. A review of applicable mfg procedures did not identify any issues with the current mfg process that may have contributed to the reported failure mode.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1625685-2010-00007
MDR Report Key1646651
Report Source05,06
Date Received2010-03-25
Date of Report2010-03-23
Date of Event2010-01-12
Date Mfgr Received2010-03-04
Date Added to Maude2010-04-01
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMICHELE DONATICH
Manufacturer Street1430 WAUKEGAN RD
Manufacturer CityMCGAW PARK IL 60085
Manufacturer CountryUS
Manufacturer Postal60085
Manufacturer Phone8478876412
Manufacturer G1CAREFUSION
Manufacturer CityMANNFORD OK
Manufacturer CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameJAMSHIDI (TJ) BONE MARROW TRAY 11GX4 MAC
Generic NameJAMSHIDI (TJ) BONE MARROW TRAY 11GX4 MAC
Product CodeLWE
Date Received2010-03-25
Model NumberBCTM3411
Catalog NumberBCTM3411
Lot NumberNO LOT GIVEN
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCAREFUSION
Manufacturer AddressMCGAW PARK IL 60085 US 60085


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2010-03-25

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