DC921T DRESSING CHANGE KIT * 375182

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2006-08-22 for DC921T DRESSING CHANGE KIT * 375182 manufactured by B Braun Medical, Inc..

Event Text Entries

[540422] Sterile dressing change kit noted to have hair inside sealed sterile package. This was caught prior to sending to pt and was sequestered in office.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1040148
MDR Report Key755952
Date Received2006-08-22
Date of Report2006-08-22
Date of Event2006-08-22
Date Added to Maude2006-08-31
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPHARMACIST
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameDC921T DRESSING CHANGE KIT
Generic Name*
Product CodeMCY
Date Received2006-08-22
Model Number*
Catalog Number375182
Lot Number601078
ID Number*
Device Expiration Date2008-08-31
Device AvailabilityY
Device Age*
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key743786
ManufacturerB BRAUN MEDICAL, INC.
Manufacturer Address* * *


Patients

Patient NumberTreatmentOutcomeDate
10 2006-08-22

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