BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    KENDALL WEBCOL ALCOHOL PREP

    MDR report key: 273367 · Received April 11, 2000

    Report

    Report Number
    MW1018632
    Event Type
    Malfunction
    Date Received
    April 11, 2000
    Date of Event
    March 27, 2000
    Report Date
    March 28, 2000
    Manufacturer
    THE KENDALL CO.
    Product Code
    LKB
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    SEVERAL ALCOHOL PREP PADS: PADS WERE MOIST, DISCOLORED, SUSPICIOUSLY STAINED YELLOW AND BROWN MATERIAL. DEAD SOLDIER ANT FOUND ON ONE PAD AND REMAINS OF ANOTHER INSECT ON SECOND PAD. NO EVIDENCE THAT SEAL HAD BEEN BROKEN PRIOR TO OPENING OF PREP PAD BY NURSE. HOSP RISK MGMT, INFECTION CONTROL AND STERILE SUPPLY NOTIFIED. HOSP OFFICIALS NOTIFIED KENDALL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KENDALL WEBCOL ALCOHOL PREP * LKB THE KENDALL CO. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other