CUSTOM STERILE PB24HYGMQ

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-11-13 for CUSTOM STERILE PB24HYGMQ manufactured by Cardinal.

Event Text Entries

[31596310] Hair discovered when custom sterile procedure tray opened.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5057941
MDR Report Key5235238
Date Received2015-11-13
Date of Report2015-11-13
Date of Event2015-11-13
Date Added to Maude2015-11-19
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCUSTOM STERILE
Generic NameKIT, ABDOMINAL HYSTERECTOMY
Product CodeLRP
Date Received2015-11-13
Catalog NumberPB24HYGMQ
Lot Number381757
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerCARDINAL
Manufacturer AddressUS


Patients

Patient NumberTreatmentOutcomeDate
10 2015-11-13

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