FDA Adverse Event
Malfunction
Summary report: N
CARDINAL HEALTH
MDR report key: 19719094
·
Received July 11, 2024
Report
- Report Number
- 19719094
- Event Type
- Malfunction
- Date Received
- July 11, 2024
- Date of Event
- June 6, 2024
- Report Date
- June 10, 2024
- Manufacturer
- CARDINAL HEALTH 200, LLC
- Product Code
- OGR
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CT
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
TWO ITEMS WERE REPORTED TO ME YESTERDAY. THESE TWO ITEMS HAD NOTICEABLE DEBRIS AND WAS TAKEN OUT OF THE ROOM BEFORE THE PATIENTS WERE BROUGHT IN. E-MAIL SENT TO SALES REP. MANUFACTURER RESPONSE FOR BOWL IN PROCEDURE PACK, (BRAND NOT PROVIDED) (PER SITE REPORTER). NOTIFIED VIA EMAIL ON [REDACTED DATE].
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2347380 | CARDINAL HEALTH | EAR, NOSE, AND THROAT SURGICAL TRAY | OGR | CARDINAL HEALTH 200, LLC | SEN7CTABRN | 23859 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |