FDA Adverse Event Malfunction Summary report: N

CARDINAL HEALTH

MDR report key: 16156935 · Received January 13, 2023

Report

Report Number
16156935
Event Type
Malfunction
Date Received
January 13, 2023
Date of Event
December 7, 2022
Report Date
January 10, 2023
Manufacturer
CARDINAL HEALTH 200, LLC
Product Code
MLS
Product Problem
Yes
Report Source
User Facility report
Reporter Location
CT
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Description of Event or Problem · 0

WHILE SETTING UP A VAGINAL DELIVERY TABLE, THE NURSE NOTED THERE WERE ONLY 4 RFID SPONGES PRESENT IN THE PACK. SHE VERIFIED IT WITH ANOTHER REGISTERED NURSE, WHO ALSO ONLY COUNTED FOR RFID SPONGES. LOT NUMBER OF THE VAGINAL PACK (SMA7CVDYNH) IS LOT# 924086. THIS RN NOTIFIED MANAGEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2075129 CARDINAL HEALTH LABOR AND DELIVERY KIT MLS CARDINAL HEALTH 200, LLC SMA7CVDYNH 924086

Patients

Seq Age Sex Outcome Treatment
1 Female