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 |