inforMED
MalfunctionNSB

Q-CARE

Received Jul 9, 2019 · Event occurred May 31, 2019

Report 8771351 · MDR key 8771351

Device

Generic name

Patient Personal Hygiene Kit

Manufacturer

Sage Products, Llc

Model number

6464

Catalog number

6464

Product problems

  • Break
  • Detachment of Device or Device Component

Patient

22265 DA

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

WHILE USING SAGE KIT FOR MOUTH CARE ON VENTILATOR, THE SWAB BROKE OFF INTO PATIENTS MOUTH. I REACHED INTO HIS MOUTH TO REMOVE THE SWAB. NO HARM TO PATIENT.