BEUDAMED
    FDA Adverse Event Injury Summary report: N

    APPLICATOR,COTTON-TIP,PLASTIC,6,STERILE

    MDR report key: 20231881 · Received September 16, 2024

    Report

    Report Number
    1417592-2024-00851
    Event Type
    Injury
    Date Received
    September 16, 2024
    Date of Event
    August 8, 2024
    Report Date
    September 16, 2024
    Manufacturer
    MEDLINE INDUSTRIES LP
    Product Code
    KXG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AR, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 0

    ACCORDING TO THE FACILITY ON 8/8, "WHEN THE PHYSICIAN WAS USING A COTTON-TIPPED APPLICATOR TO PROBE THE BASE OF A WOUND, WHEN REMOVING THE APPLICATOR, THE COTTON TIP FELL OFF INTO THE WOUND BED. THIS PIECE HAD TO BE REMOVED WITH FORCEPS. THERE WAS NO IMPACT TO THE PATIENT". A SAMPLE IS NOT AVAILABLE FOR EVALUATION. IT HAS BEEN DETERMINED THAT THE REPORTED EVENT COULD CAUSE OR CONTRIBUTE TO SERIOUS INJURY IF IT WERE TO OCCUR. IN AN ABUNDANCE OF CAUTION, THIS MEDWATCH IS BEING FILED. IF ANY FURTHER RELEVANT INFORMATION IS IDENTIFIED OR OBTAINED, A SUPPLEMENTAL MEDWATCH WILL BE SUBMITTED.

    Description of Event or Problem · 0

    ACCORDING TO THE FACILITY ON 8/8, "WHEN THE PHYSICIAN WAS USING A COTTON-TIPPED APPLICATOR TO PROBE THE BASE OF A WOUND, WHEN REMOVING THE APPLICATOR, THE COTTON TIP FELL OFF INTO THE WOUND BED."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2531184 APPLICATOR,COTTON-TIP,PLASTIC,6,STERILE KXG MEDLINE INDUSTRIES LP 39523120002

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown Other