Young female at (b)(6) gestation was scheduled for mcdonald cerclage with bladder flap dissection procedure due to history of asymptomatic cervical dilation in prior pregnancies.Spinal placed by anesthesia; no complications noted in the procedure note.Per the operative report, the patient had continued pain despite the spinal block.Per anesthesia report, spinal kit bupivacaine did not work completely, resulting in an inadequate level of anesthesia.General anesthesia was required to complete the procedure.Following initiation of general anesthesia, the procedure was completed without further complication.Manufacturer response for custom spinal kit, b.Braun (per site reporter).B.Braun was notified of this issue as it has happened more than once since start of this year.There have been multiple discussions between b.Braun, anesthesia and the materials processing department of facility.Facility removed the lot # from stock, and has now worked with b.Braun to remove the medication from the kit completely in an effort to prevent this type of event.Facility has continued concern regarding temperature management prior to the kits arriving and has shared these concerns with b.Braun.
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