MAUDE Adverse Event Report: CENTURION MEDICAL PRODUCTS MEDLINE; TRAY,BONE MARROW,W/DISP 4" NEEDLE

Catalog Number	DYNJTS0214
Medical Device Problem Code	Break (1069)
Health Effect - Clinical Code	Foreign Body In Patient (2687)
Date of Event	02/24/2026
Type of Reportable Event	Serious Injury
Event or Problem Description
According to the customer, on (b)(6) 2026 the handle of the jamshidi needle "broke off" during a "bone marrow biopsy procedure." per the customer, "the handle came off which left the metal needle embedded in the patient." the customer stated they used "needle-nose pliers to allow for removal of needle." the customer reported "the patient had a malfunctioning device embedded for about 42 minutes.".
Additional Manufacturer Narrative
According to the customer, on (b)(6) 2026 the handle of the jamshidi needle "broke off" during a "bone marrow biopsy procedure." per the customer, "the handle came off which left the metal needle embedded in the patient." the customer stated they used "needle-nose pliers to allow for removal of needle." the customer reported "the patient had a malfunctioning device embedded for about 42 minutes." no additional details are available related to the customer reported issue.Despite multiple good faith efforts to obtain additional information, the customer contact was unable or unwilling to provide further incident details to the manufacturer.No additional information is available at this time.It has been determined that the reported event could cause or contribute to serious injury if it were to occur again.In an abundance of caution, this medwatch is being filed.If any further relevant information is identified or obtained, a supplemental medwatch will be submitted.

• Brand Name: MEDLINE
• Common Device Name: TRAY,BONE MARROW,W/DISP 4" NEEDLE
• Manufacturer (Section D): CENTURION MEDICAL PRODUCTS; tri-state de mexico; s. de r.l. de c.v; mexicali, baja california 21397 ; MX 21397
• Manufacturer Contact: jessica walter ; three lakes drive; northfield, IL 60093
• MDR Report Key: 24695489
• Report Number: 3004519921-2026-00010
• Device Sequence Number: 16062143
• Product Code: LRO
• UDI-Device Identifier: 10653160375937
• UDI-Public: 10653160375937
• Combination Product (Y/N): N
• Initial Reporter State: TX
• Initial Reporter Country: US
• PMA/510(K) Number: K213481
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Health Professional
• Initial Reporter Occupation: Other
• Type of Report: Initial
• Report Date (Section B): 03/25/2026

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: Yes
• Operator of Device: Health Professional
• Device Catalogue Number: DYNJTS0214
• Device Lot Number: 2025122290
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 03/04/2026
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 02/25/2026
• Initial Report FDA Received Date: 03/26/2026
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 12/22/2025
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Unknown
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Other
• Patient Sex: Unknown