FDA Adverse Event
Malfunction
Summary report: N
MEDICHOICE
MDR report key: 19679554
·
Received July 5, 2024
Report
- Report Number
- 19679554
- Event Type
- Malfunction
- Date Received
- July 5, 2024
- Date of Event
- February 27, 2024
- Report Date
- February 27, 2024
- Manufacturer
- OWENS & MINOR DISTRIBUTION, INC.
- Product Code
- KKX
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- WI
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
WHEN USING MEDICHOICE OPERATION ROOM TOWEL TO BLOT LEG DRY AFTER APPLYING THE STERILE PREP, BLUE LINT NOTED ON PATIENT'S LEG AFTER REMOVING TOWEL. LEG PREPPED AGAIN, AND LINT THAT WAS VISIBLE WAS REMOVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 474034 | MEDICHOICE | DRAPE, SURGICAL | KKX | OWENS & MINOR DISTRIBUTION, INC. | ORT04B | 2308GD09B |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 54 YR | Unknown |