FDA Adverse Event
Malfunction
Summary report: N
O. R. CAMERA COVER, STERILE
MDR report key: 4635373
·
Received March 19, 2015
Report
- Report Number
- 1836161-2015-00018
- Event Type
- Malfunction
- Date Received
- March 19, 2015
- Date of Event
- February 27, 2015
- Report Date
- March 19, 2015
- Manufacturer
- ASPEN SURGICAL PRODUCTS, INC.
- Product Code
- FTA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Description of Event or Problem · 1
CUSTOMER REPORTED: THE HOSPITAL IS CLAIMING THIS LIGHT COVER HAS A BAD LOT WITH HOLES IN THE PACKAGING THAT RENDERS IT UNSTERILE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 189037 | O. R. CAMERA COVER, STERILE | O. R. CAMERA COVER STERILE | FTA | ASPEN SURGICAL PRODUCTS, INC. | LT-C01 | 65391 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |