FDA Adverse Event
Malfunction
Summary report: N
TUR SET
MDR report key: 11378101
·
Received February 25, 2021
Report
- Report Number
- 11378101
- Event Type
- Malfunction
- Date Received
- February 25, 2021
- Date of Event
- February 4, 2021
- Report Date
- February 19, 2021
- Manufacturer
- ICU MEDICAL FLEET SERVICES, LLC
- Product Code
- GBX
- UDI-DI
- 10887709101873
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- UT
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
WHEN OPENING AN ICU MEDICAL LATEX-FREE T-U-R Y-SET NON VENTED SET FOR TRANSURETHRAL RESECTION PROCEDURES 96 INCH, A HAIR WAS FOUND INSIDE THE PACKAGING WITH THE TUBING PRODUCT. AS THIS IS A FACTORY SEALED PRODUCT, IT CAME FROM THE MANUFACTURER THIS WAY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 274126 | TUR SET | CATHETER, IRRIGATION | GBX | ICU MEDICAL FLEET SERVICES, LLC | 654301 | 4902592 | 10887709101873 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 7300 DA |