BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CARDINAL HEALTH

    MDR report key: 17370404 · Received July 21, 2023

    Report

    Report Number
    17370404
    Event Type
    Malfunction
    Date Received
    July 21, 2023
    Date of Event
    April 26, 2023
    Report Date
    June 29, 2023
    Manufacturer
    CARDINAL HEALTH 200, LLC
    Product Code
    NWU
    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: DEBRIS/BURN/BUG FOUND IN RAYTEC ENDO PACK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2194027 CARDINAL HEALTH ENDOSCOPE INTRODUCER KIT NWU CARDINAL HEALTH 200, LLC SBA13LCEMD 987898

    Patients

    Seq Age Sex Outcome Treatment
    1 30 DA Female