FDA Adverse Event
Malfunction
Summary report: N
TYCO HEALTHCARE/KENDALL
MDR report key: 682506
·
Received February 15, 2006
Report
- Report Number
- MW1038040
- Event Type
- Malfunction
- Date Received
- February 15, 2006
- Date of Event
- January 6, 2006
- Report Date
- February 3, 2006
- Manufacturer
- TYCO HEALTHCARE GROUP LP
- Product Code
- EFQ
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- RI, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
WHILE OPENING UP A PACKAGE OF XEROFORM PETROLATUM DRESSING, THE SURGICAL TECH NOTICED A PIECE OF PAPER THAT SAYS THE WORD "CANDY" ON IT WITHIN THE FOLDS OF THE DRESSING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TYCO HEALTHCARE/KENDALL | PETROLATUM DRESSING | EFQ | TYCO HEALTHCARE GROUP LP | * | 527826G |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * | Other |