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 |