inforMED
MalfunctionOIP

CARDINAL HEALTH

Received Dec 15, 2023 · Event occurred Oct 19, 2023

Report 18334381 · MDR key 18334381

Device

Generic name

Radiology-diagnostic Kit

Model number

27-8920B

Catalog number

27-8920B

Lot number

132204

Patient

Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

DURING ONE OF OUR LUMBAR PUNCTURES, OUR PHYSICIAN ASSISTANT (PA) PICKED UP THE FOURTH VIAL TO COLLECT THE CSF. SHE NOTICED A BLACK FIBER ON THE CAP OF THE TUBE IN OUR STERILE TRAY. SHE DID NOT USE THIS TUBE TO COLLECT ANY CSF FROM THE PATIENT. THIS IS A CARDINAL HEALTH LUMBAR PUNCTURE TRAY, LOT# 132204.