ARROW IPN045627 ASA-24090-SB

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-01-31 for ARROW IPN045627 ASA-24090-SB manufactured by Teleflex Incorporated.

Event Text Entries

[177188817] While doctor was attempting to give patient spinal anesthesia the 24 guage spinal needle was broken off beneath the skin surface. X-ray was called. Doctor was able to remove the broken needle. Image was read by radiology and it was determined there was nothing left in the wound.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9652594
MDR Report Key9652594
Date Received2020-01-31
Date of Report2020-01-15
Date of Event2020-01-09
Report Date2020-01-15
Date Reported to FDA2020-01-15
Date Reported to Mfgr2020-01-31
Date Added to Maude2020-01-31
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameARROW
Generic NameNEEDLE, CONDUCTION, ANESTHETIC (W/WO INTRODUCER)
Product CodeBSP
Date Received2020-01-31
Model NumberIPN045627
Catalog NumberASA-24090-SB
Lot Number23F19G0231
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerTELEFLEX INCORPORATED
Manufacturer AddressPO BOX 12600 DURHAM NC 27709 US 27709


Patients

Patient NumberTreatmentOutcomeDate
10 2020-01-31

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