SPINAL EPIDURAL KIT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-12-22 for SPINAL EPIDURAL KIT manufactured by Arrow Intl.

Event Text Entries

[16453974] During a combined spinal/epidural procedure, upon removal of the catheter, the catheter snapped and broke off. A portion of the catheter is imbedded in the patient. The anesthesiologist left a message with the manufacturer regarding this matter.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5039794
MDR Report Key4364756
Date Received2014-12-22
Date of Report2014-12-22
Date of Event2014-12-21
Date Added to Maude2014-12-30
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPHARMACIST
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameSPINAL EPIDURAL KIT
Generic NameSPINAL EPIDURAL KIT
Product CodeOFT
Date Received2014-12-22
Lot Number23F14H0737
ID NumberASK05560JMHI
Device Sequence No1
Device Event Key0
ManufacturerARROW INTL


Patients

Patient NumberTreatmentOutcomeDate
10 2014-12-22

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