Patient was having an ebus procedure done in the operating room under general anesthesia, intubated.Several passes had been done on the same lymph node using the ebus needle.With the last pass using this needle, removal of the needle through the scope met much resistance.Assisting rt withdrew the needle and upon examination it appeared that part of the needle had broken off.Physician used the bronchoscope to examine all areas that are visible using the scope and no needle was observed.Procedure was continued using another needle and other instruments including fluoroscopy.Physician had the tech do a full fluoro scan of the lungs and no needle was observed.There was no bleeding upon completion of the procedure.After extubation and while in recovery, the patient was coughing up blood tinged sputum.Pacu rn noted a metal object on his lip.Pulmonologist and anesthesia aware.Repeat cxr completed- no needle noted.Fair level of confidence that remainder of needle was coughed out.Fda safety report id # (b)(4).
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