BARRIER EXTRA PROTECTION PLUS SURGICAL GOWN 0540

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2001-08-31 for BARRIER EXTRA PROTECTION PLUS SURGICAL GOWN 0540 manufactured by Molnlycke Health Care, Inc..

Event Text Entries

[245947] Report received that while performing a lengthy and bloody abdominal case, strikethrough occurred around the sleeve from about the area just above the cuff of the glove to just below the elbow. The surgeon uses eudermic gloves that do not have a beaded cuff, however, the surgeon does not attribute the strikethrough because of the gloves. No known blood borne pathogens involved.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2523357-2001-00001
MDR Report Key350021
Date Received2001-08-31
Date of Report2001-08-28
Date of Event2001-08-02
Date Mfgr Received2001-08-02
Date Added to Maude2001-09-06
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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 Location0
Manufacturer ContactKIM HARDING, DIR
Manufacturer Street2500 E. ARBROOK BLVD., STE. 3300
Manufacturer CityARLINGTON TX 76014
Manufacturer CountryUS
Manufacturer Postal76014
Manufacturer Phone8172825278
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Remedial ActionOT
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameBARRIER EXTRA PROTECTION PLUS SURGICAL GOWN
Generic NameGOWN, SURGICAL
Product CodeFYE
Date Received2001-08-31
Model NumberNA
Catalog Number0540
Lot NumberUNK
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrN
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key339329
ManufacturerMOLNLYCKE HEALTH CARE, INC.
Manufacturer Address110 BALDWIN TOWER EDDYSTONE PA 19022 US
Baseline Brand NameBARRIER SURGICAL GOWN
Baseline Generic NameGOWN, SURGICAL
Baseline Catalog No0540
Baseline ID9540
Baseline Device FamilySURGICAL GOWNS
Baseline Shelf Life ContainedY
Baseline Shelf Life [Months]60
Baseline PMA FlagN
Baseline 510K PMNY
Premarket NotificationK760903
Baseline PreamendmentN
Baseline TransitionalN
510k ExemptN


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2001-08-31

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