FDA Adverse Event Malfunction Summary report: N

RAYTEK

MDR report key: 2802485 · Received October 5, 2012

Report

Report Number
2802485
Event Type
Malfunction
Date Received
October 5, 2012
Date of Event
October 3, 2012
Report Date
October 5, 2012
Manufacturer
CARDINAL HEALTH
Product Code
GDY
Product Problem
Yes
Report Source
User Facility report
Reporter Location
SC, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

THE XRAY OPAQUE STRING WAS VERY LOOSE IN THE SPONGE & STRINGS WERE COMING OFF THE SPONGE. THE SPONGES WERE NOT USED ON THE PATIENT. THE DEVICE PROBLEM WAS NOTED WHEN PREPARING FOR THE CASE.======================MANUFACTURER RESPONSE FOR RAYTEC SPONGE, STERILE MAJOR BASIN PACK (PER SITE REPORTER).======================AWAITING RESPONSE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 RAYTEK GAUZE/SPONGE, INTERNAL, X-RAY DETECTABLE GDY CARDINAL HEALTH * *

Patients

Seq Age Sex Outcome Treatment
1 *