FDA Adverse Event Summary report: N

EP STERILE PACK - LABEL SHEET

MDR report key: 2320701 · Received October 20, 2011

Report

Report Number
2320701
Date Received
October 20, 2011
Report Date
September 30, 2011
Manufacturer
MEDLINE INDUSTRIES
Product Code
LYV
Report Source
User Facility report
Reporter Location
MT, US

Narratives

Description of Event or Problem · 1

IT IS STANDARD TO HAVE A BOWL OF HEPARNIZED SALINE ON THE TABLE FOR FLUSHING CATHETERS. SYRINGES ARE LABELED WITH LABELS THAT ARE SUPPLIED IN THE PACK. THE LABELS BEGAN DISSOLVING IN THE HEPARNIZED SALINE. DURING USE THE LABELS WERE SUCKED UP INTO THE SYRINGE. THE TECH CAUGHT THE ISSUE BEFORE IT WAS USED ON THE PATIENT. STERILE LABELS PROVIDED IN PACKS ARE NOT IMPERMEABLE ~ DISSOLVED IN HEPARINIZED SALINE FLUSH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 EP STERILE PACK - LABEL SHEET LABEL SHEET LYV MEDLINE INDUSTRIES * 11DB5727

Patients

Seq Age Sex Outcome Treatment
1 69 YR