BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CURITY IODOFORM PACKING STRIP

    MDR report key: 12016716 · Received June 16, 2021

    Report

    Report Number
    MW5101954
    Event Type
    Malfunction
    Date Received
    June 16, 2021
    Date of Event
    June 15, 2021
    Report Date
    June 15, 2021
    Manufacturer
    COVIDIEN / CARDINAL HEALTH
    Product Code
    EFQ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    DAUGHTER HAD SURGERY TO REMOVE A CYST ON HER BACK ON (B)(6) 2021 AT (B)(6) BY (B)(6) PA-C. ON (B)(6) 2021 AT THE APPOINTMENT TO HAVE HER STITCHES REMOVED, IT WAS DETERMINED THAT THE WOUND WAS INFECTED. THE PA (B)(6) PACKED THE WOUND WITH EXPIRED IODOFORM PACKING STRIPS. PRODUCT INFORMATION: CURITY IODOFORM PACKING STRIPS, MANUFACTURER: COVIDIEN LLC, (B)(4), LOT NUMBER: 140000794262X, EXPIRATION DATE: 2016-04, REF 7831. MY DAUGHTER WAS STARTED ON CEFALEXIN BID FOR 10 DAYS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    902811 CURITY IODOFORM PACKING STRIP GAUZE/SPONGE, INTERNAL EFQ COVIDIEN / CARDINAL HEALTH 140000794262X

    Patients

    Seq Age Sex Outcome Treatment
    1 23 YR Other