FDA Adverse Event
Malfunction
Summary report: N
CARDINAL HEALTH
MDR report key: 17360684
·
Received July 20, 2023
Report
- Report Number
- 17360684
- Event Type
- Malfunction
- Date Received
- July 20, 2023
- Date of Event
- June 19, 2023
- Report Date
- June 29, 2023
- Manufacturer
- CARDINAL HEALTH 200, LLC
- Product Code
- PKF
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- ME
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
FROM STAFF: SPONGES FROM A PACK FOUND TO HAVE DEBRIS/BUG.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 40214 | CARDINAL HEALTH | D AND C TRAY | PKF | CARDINAL HEALTH 200, LLC | SMA13DCEMP | 037744 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |