BEUDAMED
    FDA Adverse Event Injury Summary report: N

    STERIPACK STERILE POLYESTER SPUN SWAB

    MDR report key: 16760843 · Received April 18, 2023

    Report

    Report Number
    3012642695-2023-00082
    Event Type
    Injury
    Date Received
    April 18, 2023
    Date of Event
    April 12, 2023
    Report Date
    April 18, 2023
    Manufacturer
    STERIPACK USA (LIMITED) LLC
    Product Code
    KXG
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 0

    NOTE: LUMIRADX INC. PURCHASE STERIPACK STERILE POLYESTER SPUN SWABS FOR SALE/DISTRIBUTION TO CUSTOMERS FOR USE IN PATIENT SAMPLE COLLECTION, FOR TESTING WITH LUMIRADX PRODUCTS. LUMIRADX RECEIVED A REPORT FROM A CUSTOMER ON 12-APR-2023, IDENTIFYING THAT A STERIPACK STERILE POLYESTER SPUN SWAB BROKE IN THE PATIENT'S NOSE WHEN ATTEMPTING TO COLLECT A NASAL SAMPLE. NO PATIENT HARM, INJURY OR ADVERSE HEALTH CONSEQUENCES WERE COMMUNICATED BY THE CUSTOMER TO LUMIRADX FOR THE REPORTED EVENT. EVENT DETAILS WERE REPORTED TO THE SWAB MANUFACTURER FOR INVESTIGATION. THE RECEIPT OF ANY NEW INFORMATION PERTAINING TO THIS EVENT WILL BE SUBMITTED IN A FOLLOW-UP REPORT.

    Description of Event or Problem · 0

    THE CUSTOMER REPORTED THAT THE SWAB BROKE IN PATIENT'S NOSE WHILE SWABBING. NO PATIENT HARM, INJURY OR ADVERSE HEALTH CONSEQUENCES REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1186590 STERIPACK STERILE POLYESTER SPUN SWAB STERIPACK STERILE POLYESTER SPUN SWAB KXG STERIPACK USA (LIMITED) LLC 60566 SWAB-86445, CARTON-85438

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown