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 | * |