BEUDAMED
    FDA Adverse Event Other Summary report: N

    TOWELS OR GREEN

    MDR report key: 981904 · Received January 14, 2008

    Report

    Report Number
    MW5005018
    Event Type
    Other
    Date Received
    January 14, 2008
    Date of Event
    January 10, 2008
    Report Date
    January 14, 2008
    Manufacturer
    A PLUS INTERNATIONAL
    Product Code
    KKX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    KS, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    GREEN TOWELS FROM SET UP PACK APPEARED TO HAVE LEECHED GREEN ONTO THE SCRUB NURSES GLOVES. DATES OF USE: 2008. DIAGNOSIS OR REASON FOR USE: OPEN HEART SURGERY - IN SURGERY SET UP PACK. SINGLE USE DEVICE BUT KHH DISCARDS AFTER EACH PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TOWELS OR GREEN SURGICAL TOWEL KKX A PLUS INTERNATIONAL 726269 - PACK

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Other