FDA Adverse Event Malfunction Summary report: N

VISTEC XRAY DETECTABLE SPONGES

MDR report key: 717558 · Received April 26, 2006

Report

Report Number
MW1038903
Event Type
Malfunction
Date Received
April 26, 2006
Date of Event
April 1, 2006
Report Date
April 26, 2006
Manufacturer
KENDALL/TYCO
Product Code
GDY
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
NC, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

KENDALL X-RAY DETECTABLE SPONGES WERE OPENED TO THE STERILE OR FIELD; SPONGES CONTAMINATED WITH BROWNISH BLACK DRIED SUBSTANCE; NO ADVERSE EFFECT TO PT; CO NOTIFIED BY OR SUPERVISOR WITH INVESTIGATION ONGOING AT THIS TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 VISTEC XRAY DETECTABLE SPONGES * GDY KENDALL/TYCO * 0100694393088037

Patients

Seq Age Sex Outcome Treatment
1 *