FDA Adverse Event
Malfunction
Summary report: N
T4 HOOD
MDR report key: 5466493
·
Received February 29, 2016
Report
- Report Number
- 0001811755-2016-00244
- Event Type
- Malfunction
- Date Received
- February 29, 2016
- Date of Event
- December 30, 2015
- Report Date
- February 3, 2016
- Manufacturer
- STRYKER INSTRUMENTS-KALAMAZOO
- Product Code
- FYA
- PMA / PMN Number
- K070078
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE REPORTED EVENT WAS CONFIRMED; A HAIR WAS FOUND IN THE STERILE PACKAGING.
Description of Event or Problem · 1
IT WAS REPORTED THAT UPON INSPECTION BEFORE A SURGICAL PROCEDURE AT THE USER FACILITY, A HAIR WAS FOUND INSIDE THE STERILE PACKAGING. THE HAIR WAS FOUND PRIOR TO OPENING THE PACKAGE. NO PATIENT INVOLVEMENT, NO DELAY, NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE REPORTED WITH THIS EVENT.
Description of Event or Problem · 1
IT WAS REPORTED THAT UPON INSPECTION BEFORE A SURGICAL PROCEDURE AT THE USER FACILITY, A HAIR WAS FOUND INSIDE THE STERILE PACKAGING. THE HAIR WAS FOUND PRIOR TO OPENING THE PACKAGE. NO PATIENT INVOLVEMENT, NO DELAY, NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE REPORTED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 125400 | T4 HOOD | GOWN, SURGICAL | FYA | STRYKER INSTRUMENTS-KALAMAZOO | 150081486 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |