FDA Adverse Event Other Summary report: N

CRANIAL KIT - NO DRUGS

MDR report key: 2582775 · Received May 18, 2012

Report

Report Number
1722447-2012-00001
Event Type
Other
Date Received
May 18, 2012
Report Date
May 18, 2012
Manufacturer
INTEGRA PAIN MGMT
Product Code
CAZ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

TO DATE, THE DEVICE INVOLVED IN THE REPORTED INCIDENT HAS NOT BEEN RECEIVED FOR EVAL. AN INVESTIGATION HAS BEEN INITIATED BASED UPON THE REPORTED INFO.

Description of Event or Problem · 1

IT WAS REPORTED THAT WHEN THE SURGEON OPENED THE CRANIAL ACCESS KIT TO PUT A "VENTRIC" INTO AN INTENSIVE CARE UNIT (ICU) PT, THERE WAS HAIR INSIDE OF THE WRAP. THE PRODUCT WAS NOT USED. THERE WAS NO PT CONTACT. ADD'L CLINICAL INFO HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CRANIAL KIT - NO DRUGS NA CAZ INTEGRA PAIN MGMT W1109222

Patients

Seq Age Sex Outcome Treatment
1