FDA Adverse Event
Malfunction
Summary report: N
KIMBERLY-CLARK NON-REINFORCED SURGICAL GOWN
MDR report key: 628356
·
Received August 17, 2005
Report
- Report Number
- 8030647-2005-00053
- 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 NOTIFIED KIMBERLY-CLARK THAT A DR HAD EXPERIENCED BLOOD STRIKE THROUGH IN THE ABDOMINAL AREA, FROM A SURGICAL PT WITH HEPATITIS C. THE DR'S SKIN WAS INTACT AND NO MEDICAL TREATMENT WAS REQUIRED. KIMBERLY-CLARK CORPORATION HAS NO FIRST HAND KNOWLEDGE OF THE ALLEGATIONS, BUT IS RELAYING INFO RECEIVED FROM OUTSIDE SOURCES PURSUANT TO FEDERAL REGULATIONS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | KIMBERLY-CLARK NON-REINFORCED SURGICAL GOWN | SURGICAL GOWN | FYA | KIMBERLY-CLARK CORP. | NA | AE504603A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |