BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CARDINAL HEALTH

    MDR report key: 18300364 · Received December 11, 2023

    Report

    Report Number
    18300364
    Event Type
    Malfunction
    Date Received
    December 11, 2023
    Date of Event
    September 29, 2023
    Report Date
    October 10, 2023
    Manufacturer
    CARDINAL HEALTH 200, LLC
    Product Code
    LRS
    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

    I WENT IN TO START AN IV ON A PATIENT OVER IN ENDOSCOPY. WHEN I OPENED UP THE IV START KIT, THERE WAS NO TOURNIQUET IN THE PACKAGE. REF NUMBER 01-8920A, LOT # 071319.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1772379 CARDINAL HEALTH I.V. START KIT LRS CARDINAL HEALTH 200, LLC 01-8920A 071319

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown