MalfunctionHRQ

CARDINAL HEALTH

Received Jan 30, 2025 · Event occurred Jan 7, 2025

Report 21273352 · MDR key 21273352

Device

Generic name

Hemostat

Manufacturer

Cardinal Health 200, Llc

Model number

BN16-2800

Catalog number

BN16-2800

Lot number

186296

Patient

74 YR · Male

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

Narrative

Description of Event or Problem

DURING A CHEST TUBE INSERTION CASE, ONE TIP OF ROCHESTER TIP FORCEP BROKE OFF. ITEM DID NOT TOUCH PATIENT. BREAK WAS NOTICED AND NEW FORCEP OBTAINED TO COMPLETE PROCEDURE.