FDA Adverse Event
Injury
Summary report: N
GRHS CUSTOM C-SECTION PACK
MDR report key: 8627878
·
Received May 20, 2019
Report
- Report Number
- MW5086790
- Event Type
- Injury
- Date Received
- May 20, 2019
- Date of Event
- May 8, 2019
- Report Date
- May 16, 2019
- Manufacturer
- AMERICAN CONTRACT SYSTEMS
- Product Code
- OHM
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- IA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
HAIR FOUND IN PACK WHEN SETTING UP FOR SCHEDULED C-SECTION. FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 416836 | GRHS CUSTOM C-SECTION PACK | CESAREAN SECTION TRAY | OHM | AMERICAN CONTRACT SYSTEMS | GICS36D 2 | 935191 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 28 YR | Required Intervention |