BEUDAMED
    FDA Adverse Event Other Summary report: N

    DRAPE CASSETTE UNIVERSAL

    MDR report key: 748553 · Received August 15, 2005

    Report

    Report Number
    MW1036359
    Event Type
    Other
    Date Received
    August 15, 2005
    Report Date
    August 15, 2005
    Manufacturer
    MICROTEK MEDICAL, INC
    Product Code
    KKX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AR, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    BANDS BREAK ON EVERY DRAPE OPENED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DRAPE CASSETTE UNIVERSAL SURGERY DRAPE KKX MICROTEK MEDICAL, INC * 83820

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other