FDA Adverse Event Injury Summary report: N

APPLICATOR,COTTON-TIP,PLASTIC,6,STERILE

MDR report key: 23142659 · Received September 25, 2025

Report

Report Number
1417592-2025-00509
Event Type
Injury
Date Received
September 25, 2025
Date of Event
August 25, 2025
Report Date
September 25, 2025
Manufacturer
MEDLINE INDUSTRIES, LP
Product Code
KXG
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ACCORDING TO THE CUSTOMER, ON (B)(6) 2025 DURING A CLINIC OFFICE VISIT FOR POST-SURGICAL ABDOMINAL "WOUND DEBRIDEMENT," THE "COTTON TIP CAME OFF THE APPLICATOR IN THE PATIENT'S WOUND" AND WAS REMOVED "MANUALLY WITH TWEEZER." NO ADDITIONAL INFORMATION IS AVAILABLE AT THIS TIME. IT HAS BEEN DETERMINED THAT THE REPORTED EVENT COULD CAUSE OR CONTRIBUTE TO SERIOUS INJURY IF IT WERE TO OCCUR AGAIN. 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 CUSTOMER, ON (B)(6) 2025 DURING A CLINIC OFFICE VISIT FOR POST-SURGICAL ABDOMINAL "WOUND DEBRIDEMENT," THE "COTTON TIP CAME OFF THE APPLICATOR IN THE PATIENT'S WOUND" AND WAS REMOVED "MANUALLY WITH TWEEZER."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1597102 APPLICATOR,COTTON-TIP,PLASTIC,6,STERILE KXG MEDLINE INDUSTRIES, LP 29523100001

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other