PRESOURCE ORTHO PACK SOP56EX20E

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-11-08 for PRESOURCE ORTHO PACK SOP56EX20E manufactured by Cardinal Health 200, Llc.

Event Text Entries

[59387764]
Patient Sequence No: 1, Text Type: N, H10


[59387765] Operating room staff was opening an upper extremity pack for a case and when the pack was completely opened over the entire back table it was noticed that metal could be seen coming through table cover. Discovered a giant hole near the stickers that keep the packs sealed. It was so big could stick finger through it.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number6085890
MDR Report Key6085890
Date Received2016-11-08
Date of Report2016-10-20
Date of Event2016-10-06
Report Date2016-10-20
Date Reported to FDA2016-10-20
Date Reported to Mfgr2016-10-20
Date Added to Maude2016-11-08
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePRESOURCE ORTHO PACK
Generic NameGENERAL SURGERY TRAY
Product CodeLRP
Date Received2016-11-08
Model NumberSOP56EX20E
Catalog NumberSOP56EX20E
Lot Number541301
ID NumberSOP56EX20E
Device AvailabilityY
Device Age5 MO
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCARDINAL HEALTH 200, LLC
Manufacturer Address1320 DON HASKINS SUITE A EL PASO TX 79936 US 79936


Patients

Patient NumberTreatmentOutcomeDate
10 2016-11-08

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