MAUDE MDR 3469676

MDR report key
3469676
Report number
MW5032738
Event key
0
Event type
3
Date of event
2013-11-06
Date received
2013-11-11
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
2
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Report source
P
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1JAMSHIDI ASPIRATION NEEDLEASPIRATION NEEDLECAREFUSIONLWE0000535128 Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12013-11-1101. H; 2. R

Event Narratives#

D

Patient 1

DURING BONE MARROW BIOPSY, JAMSHIDI ASPIRATION NEEDLE BROKE IN HALF. PART OF NEEDLE REMAINED IN PT'S ILIAC CREST AND REQUIRED SURGICAL REMOVAL.