FDA Adverse Event
Malfunction
Summary report: N
MEDICHOICE COHESIVE BANDAGES
MDR report key: 19660062
·
Received July 1, 2024
Report
- Report Number
- MW5156938
- Event Type
- Malfunction
- Date Received
- July 1, 2024
- Date of Event
- June 26, 2024
- Report Date
- June 28, 2024
- Manufacturer
- OWENS & MINOR DISTRIBUTION, INC.
- Product Code
- KGX
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- PA, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
MEDICHOICE COHESIVE BANDAGES CBN1104 LOT # 24013H09A LEAVING BEHIND VISIBLE ADHESIVE RESIDUE ON GLOVES WHEN PERFORMING MANUAL MANIPULATION OF LEG DURING KNEE REPLACEMENT SURGERY. SURGEON AND TEAM DOUBLE GLOVE FOR DRAPING AND THEN REMOVE GLOVES AFTER. GLOVES WORN BY SURGEON ARE CARDINAL HEALTH PROTEXIS LATEX ORTHO SURGICAL GLOVES REF # 2D72LT80. ALSO OCCURRING TO OTHER MEMBERS OF TEAM WHEN ASSISTING WITH MANIPULATION OF LEG.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 552145 | MEDICHOICE COHESIVE BANDAGES | TAPE AND BANDAGE, ADHESIVE | KGX | OWENS & MINOR DISTRIBUTION, INC. | CBN1104 L | 24013H09A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 85 YR | Male |