SUBDERMAL NEEDLE ELECTRODES SAP320609 RLSND 122-2.5

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-01-15 for SUBDERMAL NEEDLE ELECTRODES SAP320609 RLSND 122-2.5 manufactured by Rhythmlink International, Llc.

Event Text Entries

[36481703] A needle from a neuromonitoring probe broke off intra-operatively in this patient's left lower arm requiring removal after localizing with x-ray.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5059405
MDR Report Key5380560
Date Received2016-01-15
Date of Report2016-01-11
Date of Event2015-11-27
Date Added to Maude2016-01-20
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameSUBDERMAL NEEDLE ELECTRODES
Generic NameSUBDERMAL NEEDLE ELECTRODES
Product CodeGXZ
Date Received2016-01-15
Model NumberSAP320609
Catalog NumberRLSND 122-2.5
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerRHYTHMLINK INTERNATIONAL, LLC
Manufacturer Address1140 FIRST ST. SOUTH COLUMBIA SC 29209 US 29209


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2016-01-15

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