FDA Adverse Event
Malfunction
Summary report: N
CARDINAL HEALTH
MDR report key: 13051611
·
Received December 21, 2021
Report
- Report Number
- 13051611
- Event Type
- Malfunction
- Date Received
- December 21, 2021
- Date of Event
- November 28, 2021
- Report Date
- December 15, 2021
- Manufacturer
- CARDINAL HEALTH 200, LLC
- Product Code
- OXQ
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- UT
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
CENTRAL LINE DRESSING CHANGE KIT (LOT #649934). ALCOHOL SWAB PACKAGES ARE FALLING APART WHEN YOU USE THEM ON A PATIENT. THEY HAVE LEFT LITTLE PIECES OF GAUZE ON THE STITCHES, AS THEY CATCH WHEN CLEANING THE LINE. THIS IS NOT SAFE FOR PATIENTS AND NOT AN EFFECTIVE SWAB TO CLEAN A LINE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1955442 | CARDINAL HEALTH | DRESSING CHANGE TRAY | OXQ | CARDINAL HEALTH 200, LLC | 03B8920B | 649934 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |