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 |