V. MUELLER BE8230

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-05-04 for V. MUELLER BE8230 manufactured by Bd (carefusion 2200, Inc).

Event Text Entries

[74438128]
Patient Sequence No: 1, Text Type: N, H10


[74438129] Patient experienced retention of a 6 cm needle sheath of a 22ga mediastinoscopy aspirating needle. The 6 cm sheath is a sliding piece over the needle. When the needle was inserted during a surgical case performed approximately 7 months ago, the sliding piece was retained. Needle was used to inject local anesthetics. The patient was discharged to home, but later reported discomfort. X-rays confirmed metallic object. Patient returned to have the object removed approximately one month ago.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number6544420
MDR Report Key6544420
Date Received2017-05-04
Date of Report2017-04-26
Date of Event2016-09-13
Report Date2017-04-26
Date Reported to FDA2017-04-26
Date Reported to Mfgr2017-04-26
Date Added to Maude2017-05-04
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
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 Report3

Device Sequence Number: 0

Brand NameV. MUELLER
Generic NameNEEDLE, HYPODERMIC, SINGLE LUMEN
Product CodeDWO
Date Received2017-05-04
Model NumberBE8230
Catalog NumberBE8230
ID Number22GA
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No0
Device Event Key0
ManufacturerBD (CAREFUSION 2200, INC)
Manufacturer Address5859 FARINON DR. STE. 200 SAN ANTONIO TX 78249 US 78249

Device Sequence Number: 1

Brand NameV. MUELLER
Generic NameNEEDLE, HYPODERMIC, SINGLE LUMEN
Product CodeFMI
Date Received2017-05-04
Model NumberBE8230
Catalog NumberBE8230
ID Number22GA
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBD (CAREFUSION 2200, INC)
Manufacturer Address5859 FARINON DR. STE. 200 SAN ANTONIO TX 78249 US 78249


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-05-04

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