FDA Adverse Event Injury Summary report: N

GLOVE SURGICAL PROTEXIS LATEX MICRO

MDR report key: 2852793 · Received November 30, 2012

Report

Report Number
1423537-2012-00043
Event Type
Injury
Date Received
November 30, 2012
Date of Event
November 9, 2012
Report Date
November 30, 2012
Manufacturer
CARDINAL HEALTH
Product Code
KGO
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER PROVIDED THE LOT NUMBER, THEREFORE, THE DEVICE HISTORY RECORD WAS REVIEWED. IT SHOWED THAT THIS LOT WAS INSPECTED AND RELEASED IN COMPLIANCE WITH ALL INSPECTION REQUIREMENTS. HISTORICAL TRENDING WAS DONE. THE ACTUAL SAMPLE WAS NOT AVAILABLE FOR VISUAL OR PHYSICAL EVALUATION THEREFORE, WE ARE NOT ABLE TO DETERMINE THE ROOT CAUSE OF THE REPORTED COMPLAINT. WE WILL CONTINUE TO MONITOR COMPLAINTS FOR ANY TRENDS.

Description of Event or Problem · 1

SURGEON REPORTED HOLE IN FOREFINGER DURING SURGICAL CASE (IMPLANT). SURGEON DID NOT NEED TO SEEK TREATMENT. THE PATIENT WAS GIVEN ROUTINE ANTIBIOTICS PRIOR TO THE START OF THE PROCEDURE, BUT HAD ADDITIONAL ANTIBIOTICS (BY IRRIGATION) DURING THE PROCEDURE DUE TO THE HOLE IN THE GLOVE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GLOVE SURGICAL PROTEXIS LATEX MICRO SURGEON'S GLOVE KGO CARDINAL HEALTH TS12080638

Patients

Seq Age Sex Outcome Treatment
1 53 YR Other