BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BAXTER

    MDR report key: 92739 · Received May 23, 1997

    Report

    Report Number
    MW1010820
    Event Type
    Injury
    Date Received
    May 23, 1997
    Date of Event
    April 1, 1997
    Report Date
    May 21, 1997
    Manufacturer
    ALLEGIANCE HEALTHCARE CORP.
    Product Code
    KKX
    Report Source
    Voluntary report
    Reporter Location
    IN, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    ON 4/1/97 PT HAD EXTENSIVE ABDOMINAL SURGERY. ON 4/11/97 PT RETURNED TO SURGERY FOR SPONGE LEFT IN FROM PREVIOUS SURGERY. PT'S LENGTH OF STAY EXTENDED. SPONGE COUNT CORRECT AFTER FIRST SURGERY. ON 4/12/97 CUSTOM PLA PACKS FROM BAXTER HEALTHCARE CORP. HAD TWO PACKS WITH INACCURATE COUNT OF RAYTEX SPONGES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BAXTER SPONGES RAYTEX KKX ALLEGIANCE HEALTHCARE CORP. 221422 *

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR Hospitalization