FDA Adverse Event
Malfunction
Summary report: N
MEDICHOICE
MDR report key: 19679555
·
Received July 5, 2024
Report
- Report Number
- 19679555
- 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
DURING TOTAL JOINT PREP IT WAS NOTED THAT THERE WAS LINT BEING LEFT ON THE STERILE LEG AFTER USING IT TO BLOT DRY PREPPING SOLUTION. THE LEG WAS RE-PREP USING DIFFERENT TOWELS. MD MADE AWARE AND ISSUE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 474035 | MEDICHOICE | DRAPE, SURGICAL | KKX | OWENS & MINOR DISTRIBUTION, INC. | ORT04B | 2308GD09B |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 71 YR | Male |