FDA Adverse Event
Other
Summary report: N
UNKNOWN
MDR report key: 30195
·
Received December 28, 1995
Report
- Report Number
- 30195
- Event Type
- Other
- Date Received
- December 28, 1995
- Date of Event
- November 16, 1995
- Report Date
- December 28, 1995
- Manufacturer
- UNKNOWN
- Product Code
- LRP
- Adverse Event
- Yes
- Report Source
- User Facility report
- Reporter Location
- NY, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
AFTER RPTR PREPARED THE MAYO & BECK TABLE FOR THE PROCEDURE, RPTR GOWNED & GLOVED DR UPON RETURN TO THE "STERILE FIELD". RPTR NOTICED A "BROWN/BLACK/RUST COLORED DUST" SPRINKLED OVER THE MAYO AND TP DRAPE FROM CHEST LEVEL DOWN. INSTRUMENTS, PT DRAPE AND MAYO WERE CHANGED. DR EXAMINED FIELD, NOTHING WAS NOTED. AT END OF PROCEDURE RPTR WAS INFORMED AIR CONDITIONER SERVICE MAN WAS ON THE ROOF, CHANGING THE FILTER. NO POST-OP WOUND INFECTION. PER EYE OFFICE .
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | UNKNOWN | UNKNOWN | LRP | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 79 YR | Other |