127566A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-02-22 for 127566A manufactured by Novo Health Services.

Event Text Entries

[100678017]
Patient Sequence No: 1, Text Type: N, H10


[100678018] As i was opening for a total knee, the drape for the double basin had a hole in it. I had already put it on the table when we found it, but it wasn't touching anything. We removed it before continuing. We opened an ioban to cover the contaminated area and made sure nothing was put in that area. Once i scrubbed in, i covered the contaminated area with the ioban and changed my gloves.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number7288581
MDR Report Key7288581
Date Received2018-02-22
Date of Report2018-02-12
Date of Event2018-02-01
Report Date2018-02-12
Date Reported to FDA2018-02-12
Date Reported to Mfgr2018-02-12
Date Added to Maude2018-02-22
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
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

Generic NameDRAPE, BASIN PACK
Product CodeKGT
Date Received2018-02-22
Model Number127566A
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerNOVO HEALTH SERVICES
Manufacturer Address2595 CUSTER RD STE B SALT LAKE CITY UT 84104 US 84104


Patients

Patient NumberTreatmentOutcomeDate
10 2018-02-22

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