FDA Adverse Event
Injury
Summary report: N
BIOGEL PI IND SZ 7.5
MDR report key: 4121288
·
Received September 22, 2014
Report
- Report Number
- 3004763499-2014-00015
- Event Type
- Injury
- Date Received
- September 22, 2014
- Date of Event
- July 26, 2014
- Report Date
- September 22, 2014
- Manufacturer
- MOLNLYCKE HEALTHCARE
- Product Code
- KGO
- PMA / PMN Number
- K970924
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NC, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
(B)(4). RECEIVED E-MAIL FROM FACILITY STATING BREAKAGE IN USE. NO SAMPLE WAS RETURNED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 587526 | BIOGEL PI IND SZ 7.5 | SURGEONS GLOVE | KGO | MOLNLYCKE HEALTHCARE | NA | 14 C225 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK | Other |