MalfunctionPEZ
DEROYAL VENOUS PACK
Received Aug 22, 2018 · Event occurred Aug 20, 2018
Report MW5079325 · MDR key 7809274
Device
Generic name
Central Venous Catheter Dressing Change Kit
Manufacturer
DeroyalModel number
REF # 89-8672.04Lot number
47260555
Product problems
- Device Contamination with Chemical or Other Material
Patient
42 YR
- No Patient Involvement
- No Patient Involvement
Narrative
Description of Event or Problem
SMALL BLACK SPECK FOUND ON ANGIO TRAY (ON BLUE DRAPE). TRAY NEVER USED, OPENED NEW TRAY.