FDA Adverse Event Malfunction Summary report: N

BOUFFANT CAP, ANNIE BLUE LARGE

MDR report key: 13028252 · Received December 17, 2021

Report

Report Number
3004763499-2021-00002
Event Type
Malfunction
Date Received
December 17, 2021
Date of Event
November 19, 2021
Report Date
November 19, 2021
Manufacturer
MOLNLYCKE HEALTH CARE
Product Code
FYF
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Description of Event or Problem · 0

A PATIENT FOUND A BROKEN SEWING MACHINE NEEDLE IN HER HAIR WHEN REMOVING THE CAP AFTER AN MRI.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1921825 BOUFFANT CAP, ANNIE BLUE LARGE SURGICAL CAP, SINGLE-USE FYF MOLNLYCKE HEALTH CARE 621815 21276594

Patients

Seq Age Sex Outcome Treatment
1 Female Other