FDA Adverse Event
Malfunction
Summary report: N
MEDICAL ACTION INDUSTRIES
MDR report key: 8990725
·
Received September 11, 2019
Report
- Report Number
- 8990725
- Event Type
- Malfunction
- Date Received
- September 11, 2019
- Date of Event
- August 14, 2019
- Report Date
- August 21, 2019
- Manufacturer
- MEDICAL ACTION INDUSTRIES INC. 306
- Product Code
- PEZ
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- VA
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
MEDICAL ACTION INDUSTRIES INC. CVC REDRESS KIT RED #77433, LOT#260139, EXP 01-31-2021. CVC REDRESS KIT DID NOT HAVE A BIOBATCH, STERILE GLOVES WERE ABNORMALLY THIN AND EASY TO RIP, AND CHLORA-PREP SWABS WERE DRY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 784137 | MEDICAL ACTION INDUSTRIES | CENTRAL VENOUS CATHETER DRESSING CHANGE KIT | PEZ | MEDICAL ACTION INDUSTRIES INC. 306 | 77433 | 260139 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |