PILLING ASPIRATING NEEDLE 23GA * 507454

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-06-16 for PILLING ASPIRATING NEEDLE 23GA * 507454 manufactured by Teleflex Medical.

Event Text Entries

[14965379] Mediastinoscopy aspirating needle tip noted to be broken off when removed from patient's chest. Area searched, chest x-ray done. Total tip found when checking suction manifold.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1728726
MDR Report Key1728726
Date Received2010-06-16
Date of Report2010-06-16
Date of Event2010-06-01
Report Date2010-06-16
Date Reported to FDA2010-06-16
Date Added to Maude2010-06-18
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 NamePILLING ASPIRATING NEEDLE 23GA
Generic NameASPIRATING NEEDLE
Product CodeGAI
Date Received2010-06-16
Model Number*
Catalog Number507454
Lot NumberUU7 (LOT # FROM A NEW PKG)
ID Number*
OperatorPHYSICIAN
Device AvailabilityY
Device Age1 DY
Device Sequence No1
Device Event Key0
ManufacturerTELEFLEX MEDICAL
Manufacturer Address4024 STIRRUP CREEK DR. SUITE 720 DURHAM NC 27703 US 27703


Patients

Patient NumberTreatmentOutcomeDate
10 2010-06-16

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