FDA Adverse Event Other Summary report: N

MAJOR CV PACK

MDR report key: 21452 · Received April 25, 1995

Report

Report Number
MW1005729
Event Type
Other
Date Received
April 25, 1995
Date of Event
February 24, 1995
Report Date
February 24, 1995
Manufacturer
BAXTER HEALTHCARE CORP.
Product Code
FQP
Report Source
Voluntary report
Reporter Location
MD, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

DURING SURGICAL PROCEDURE, NOTED THAT LIGHT GLOVE WAS TORN. SURGEON AND ASSISTANT RE-GLOVED. LATER DURING THE SAME PROCEDURE, NOTED THAT SECOND LIGHT GLOVE WAS TORN. AGAIN SURGEON AND ASSISTANT RE-GLOVED. ALSO IRRIGATED THE OPERATIVE WOUND. PACKAGING WAS NOT SAVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MAJOR CV PACK DISPOSABLE LIGHT HANDLE COVER FQP BAXTER HEALTHCARE CORP.

Patients

Seq Age Sex Outcome Treatment
1 54 YR Other