MEDICHOICE LATEX FREE STOCKINETTE STK3648

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2011-11-11 for MEDICHOICE LATEX FREE STOCKINETTE STK3648 manufactured by Medichoice / Owens & Minor.

Event Text Entries

[2352207] Foreign material discovered inside of a sterile stockinette pack while pack was in channel of distribution. Foreign material: appears to be a clump of lint approximately 15 mm x 10 mm. Spd (sterile processing department) technician discovered problem and removed product from distribution. Jpg photo can be forwarded. (please advise reporter of e-mail address; jpg will be sent out. )no patient adverse event arose since problem was discovered prior to any patient contact. ======================manufacturer response for sterile stockinette, medichoice latex free stockinette (per site reporter). ======================no response as of this time. Sent e-mail to sales rep.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2344270
MDR Report Key2344270
Date Received2011-11-11
Date of Report2011-11-11
Date of Event2011-11-11
Report Date2011-11-11
Date Reported to FDA2011-11-11
Date Added to Maude2011-11-21
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameMEDICHOICE LATEX FREE STOCKINETTE
Generic NameSTERILE STOCKINETTE
Product CodeIPM
Date Received2011-11-11
Model NumberSTK3648
Catalog NumberSTK3648
Lot Number211211
ID Number*
Device AvailabilityY
Device Age1 DY
Device Sequence No1
Device Event Key0
ManufacturerMEDICHOICE / OWENS & MINOR
Manufacturer Address9120 LOCKWOOD BOULEVARD MECHANICSVILLE VA 23116 US 23116


Patients

Patient NumberTreatmentOutcomeDate
10 2011-11-11

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