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 | * |