FDA Adverse Event Malfunction Summary report: N

REGARD

MDR report key: 20306132 · Received September 25, 2024

Report

Report Number
3004513970-2024-00002
Event Type
Malfunction
Date Received
September 25, 2024
Date of Event
September 6, 2024
Report Date
September 25, 2024
Manufacturer
RESOURCE OPTIMIZATION & INNOVATION, LLC
Product Code
FYC
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

RESOURCE OPTIMIZATION & INNOVATION, LLC PERSONNEL CONDUCTED A SITE VISIT AT THE USER FACILITY AS PART OF THE INVESTIGATION INTO THE REPORTED EVENT. THE USER OF THE GOWN CONFIRMED THAT THEY USED A GOWN THAT WAS TOO SMALL AND THAT THEY DID NOT COVER THE WRIST CUFF WITH GLOVES AS REQUIRED. THE FLUID STRIKE THROUGH WAS PRESENT ONLY ON THE CUFF OF THE GOWN AND NOT ON THE AREAS OF THE GOWN WHERE FLUID PROTECTION IS PROVIDED.

Additional Manufacturer Narrative · 0

RESOURCE OPTIMIZATION & INNOVATION, LLC PERSONNEL CONDUCTED A SITE VISIT AT THE USER FACILITY AS PART OF THE INVESTIGATION INTO THE REPORTED EVENT. THE USER OF THE GOWN CONFIRMED THAT THEY USED A GOWN THAT WAS TOO SMALL AND THAT THEY DID NOT COVER THE WRIST CUFF WITH GLOVES AS REQUIRED. THE FLUID STRIKE THROUGH WAS PRESENT ONLY ON THE CUFF OF THE GOWN AND NOT ON THE AREAS OF THE GOWN WHERE FLUID PROTECTION IS PROVIDED. FOLLOW UP 1-INVESTIGATION RESULTS: SEE ATTACHED "INCI115625-CLOSURE LETTER-INVESTIGATION RESULTS".

Description of Event or Problem · 0

THE BILE FROM A CASE TODAY LEAKED THROUGH THE CUFF OF THE GOWN.

Description of Event or Problem · 0

THE BILE FROM A CASE TODAY LEAKED THROUGH THE CUFF OF THE GOWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1243188 REGARD GOWN ISOLATION AAMI 3 BLUE CUFF, UL FYC RESOURCE OPTIMIZATION & INNOVATION, LLC A3ISOGULNS-REG

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown