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