Pt was scheduled for a right total knee replacement and in the process of getting the epidural, the distal portion of pencan 27g spinal needle broke off during attempt at spinal placement.Stylette intact.X-ray shows retained needle piece next to l4 pedicle.Neurosurgery team planned immediate removal of spinal needle piece under general anesthesia.Laminectomy ensued.Needle tip found with fluoroscopy guidance, removed and sent to pathology.Pt did not get scheduled rtkr.Post op care ensued and pt was discharged home on (b)(6) 2017 in stable condition.Occurrence reported to (b)(6) through (b)(6) under code 913ne.Diagnosis or reason for use: epidural.Is the product compounded: no.Is the product over-the-counter: no.
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