RAPID? SPINAL NEEDLE SET 100/496/126

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a other report with the FDA on 2017-01-16 for RAPID? SPINAL NEEDLE SET 100/496/126 manufactured by Smiths Medical Asd, Inc..

Event Text Entries

[64920699] Customer has not yet returned the device to the manufacturer for device evaluation. When and if the device becomes available and is returned and evaluated the manufacturer will file a follow-up report detailing the results of the evaluation.
Patient Sequence No: 1, Text Type: N, H10


[64920700] It was reported the tip of the rapid? Spinal 26g pencil point needle broke off while inserting the needle into the patient and an additional attempt for spinal anesthesia was abandoned. The patient then underwent general anesthesia for a routine caesarian section. The patient's pregnancy was at full term. It was further reported after the caesarian section a neurosurgeon performed an emergency procedure which included a 'mini incision' in the patient's back to remove the spinal needle.
Patient Sequence No: 1, Text Type: D, B5


[74719575] One needle 26g*90mm spinal pencil (part number: 005/000/056, lot number: kb5l834) was returned for investigation. The sample was received with the certificate of safe handling and was not in the original packaging. There was no brown button on the hub of the needle and there was no protective sheath returned with the defected sample. The broken piece, which was removed from the patient, was not returned. Visual inspection of the returned sample revealed that the needle was bent approximately 25mm from the needle hub and that the needle was broken approximately 49mm from the needle hub. No further examination was able to be performed as the only part of the needle was returned. Investigation was unable to definitively determine the root cause of the broken and bent needle. The supplier of the needle component was made aware of the reported issue.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3012307300-2017-00168
MDR Report Key6254805
Report SourceOTHER
Date Received2017-01-16
Date of Report2017-05-02
Date of Event2016-12-13
Date Mfgr Received2017-04-12
Device Manufacturer Date2016-03-11
Date Added to Maude2017-01-16
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 FDA3
Event Location3
Manufacturer ContactMS. LISA PERZ
Manufacturer StreetSMITHS MEDICAL ASD, INC. 6000 NATHAN LANE NORTH
Manufacturer CityMINNEAPOLIS, MN 55442
Manufacturer CountryUS
Manufacturer Postal55442
Manufacturer Phone7633833074
Manufacturer G1SMITHS MEDICAL INTERNATIONAL LTD.
Manufacturer Street52 GRAYSHILL ROAD
Manufacturer CityCUMBERNAULD, GLASGOW G68 9HQ
Manufacturer CountryUK
Manufacturer Postal CodeG68 9HQ
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameRAPID? SPINAL NEEDLE SET
Generic NameNEEDLE, SPINAL, SHORT TERM
Product CodeMIA
Date Received2017-01-16
Returned To Mfg2017-01-30
Catalog Number100/496/126
Lot Number3145832
OperatorPHYSICIAN
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSMITHS MEDICAL ASD, INC.
Manufacturer Address6000 NATHAN LANE NORTH MINNEAPOLIS MN 55442 US 55442


Patients

Patient NumberTreatmentOutcomeDate
101. Other; 2. Required No Informationntervention 2017-01-16

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