FDA Adverse Event Injury Summary report: N

CARDINAL

MDR report key: 2163550 · Received July 7, 2011

Report

Report Number
MW5021311
Event Type
Injury
Date Received
July 7, 2011
Date of Event
June 16, 2011
Report Date
July 7, 2011
Manufacturer
MEDICAL PRODUCTS & SERVICES
Product Code
KDD
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
WV, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

PT WAS HAVING A PACEMAKER IMPLANTED. DURING COUNT IT WAS NOTED RAYTEX WAS MISSING. X-RAY OBTAINED. RAYTEX DID NOT SHOW ON X-RAY. PHYSICIAN REOPENED INCISION AND LOCATED RAYTEX.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CARDINAL STR MAJOR SURGICAL SETUP KIT KDD MEDICAL PRODUCTS & SERVICES

Patients

Seq Age Sex Outcome Treatment
1 70 YR Required Intervention