CAREFUSION 22G X 15CM ACT2215

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-02-15 for CAREFUSION 22G X 15CM ACT2215 manufactured by Carefusion.

Event Text Entries

[100425690] During cut guided lung biopsy, md placed the introducer in the pt for a lung biopsy. The needle would not go through the introducer. Physician said it felt like there was obstruction. Needle and introducer removed. New device opened and the procedure was completed. Post procedure the pt developed a pneumothorax. The md states it may or may not be related to the defective device as the pt was also coughing during the procedure.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5075316
MDR Report Key7276189
Date Received2018-02-15
Date of Report2018-02-14
Date of Event2018-02-13
Date Added to Maude2018-02-16
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
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
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameCAREFUSION
Generic NameTEMNO BIOPSY NEEDLE
Product CodeIKT
Date Received2018-02-15
Model Number22G X 15CM
Catalog NumberACT2215
Lot Number0000965342
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerCAREFUSION
Manufacturer AddressUS


Patients

Patient NumberTreatmentOutcomeDate
10 2018-02-15

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