inforMED
MalfunctionOGV

TRACHEOSTOMY CLEAN AND CARE TRAY

Received Aug 17, 2012 · Event occurred Aug 9, 2012

Report MW5026585 · MDR key 2711103

Device

Generic name

None

Lot number

12CY0032

Product problems

  • Device Contamination with Chemical or Other Material

Patient

50 YR

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

PT BEING CARED FOR AT A HOME. WHEN TRACHEOSTOMY CARE KIT WAS OPENED BY FAMILY MEMBER, BLACK MATTER WAS NOTED ON A GAUZE DRESSING IN THE KIT. THE HOME CARE NURSE SUBSEQUENTLY OPENED ANOTHER KIT FROM THE SAME LOT NUMBER, AND IT ALSO CONTAINED A GAUZE WITH BLACK MATTER ON IT. NEITHER DRESSING WAS USED ON THE PT.