FDA Adverse Event Malfunction Summary report: N

KIMBERLY-CLARK ULTRA SURGICAL GOWN

MDR report key: 628350 · Received August 17, 2005

Report

Report Number
8044184-2004-00054
Event Type
Malfunction
Date Received
August 17, 2005
Date of Event
July 22, 2005
Report Date
August 17, 2005
Manufacturer
KIMBERLY-CLARK CORP.
Product Code
FYA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

THE DISTRIBUTOR FOR THE PRODUCT NOTTFIELD KIMBERTY-CLARK THAT A DR HAD EXPERIENCED BLOOD STRIKE THROUGH IN THE ABDOMINAL AREA FROM A SURGICAL PT WITH HEPALITIS C. THE DR'S SKIN WAS INTACI AND NO MEDICAL TREATMENT WAS REQUIRED. KIMBERLY-CLARK CORPORATION HAS NO FIRST HARD KNOWLEDGE OF THE ALLEGATIONS BUT IS RELAYING INFORMATION RECEIVED FROM OUTSIDE SOURCES PURSUANT TO FEDERAL REGULATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KIMBERLY-CLARK ULTRA SURGICAL GOWN SURGICAL GOWN FYA KIMBERLY-CLARK CORP. * AF411512A

Patients

Seq Age Sex Outcome Treatment
1 *