FDA Adverse Event
Malfunction
Summary report: N
T5 HOOD WITH PEEL AWAY FACE
MDR report key: 3234008
·
Received July 18, 2013
Report
- Report Number
- 0001811755-2013-01665
- Event Type
- Malfunction
- Date Received
- July 18, 2013
- Date of Event
- April 11, 2013
- Report Date
- January 10, 2025
- Manufacturer
- STRYKER INSTRUMENTS-KALAMAZOO
- Product Code
- FYA
- PMA / PMN Number
- K070078
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
Additional Manufacturer Narrative · 1
ADDITIONAL INFORMATION WILL BE SUBMITTED ONCE THE DEVICE IS RECEIVED AND THE QUALITY INVESTIGATION IS COMPLETED, IF ADDITIONAL INFORMATION IS OBTAINED AND REQUIRES REPORTING. THE DEVICE HAS NOT BEEN RETURNED FOR ANALYSIS AT THIS TIME.
Description of Event or Problem · 1
IT WAS REPORTED THAT A HAIR WAS FOUND IN THE STERILE PACKAGING OF THE HOOD AT THE USER FACILITY UPON RECEIPT OF THE PRODUCT. IT WAS REPORTED THAT THERE WAS NO ASSOCIATED PROCEDURE. NO PATIENT INVOLVEMENT, NO DELAY, NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE ALLEGED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 333234 | T5 HOOD WITH PEEL AWAY FACE | GOWN, SURGICAL | FYA | STRYKER INSTRUMENTS-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |