07-CA601

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-11-20 for 07-CA601 manufactured by Advance Medical Designs, Inc..

Event Text Entries

[127886090] The unopened c-drape had a long black hair in it. The package was still sealed. Luckily, the surgical technician saw the hair before she opened the package and the sterile field was not compromised.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number8089046
MDR Report Key8089046
Date Received2018-11-20
Date of Report2018-11-13
Date of Event2018-11-09
Report Date2018-11-13
Date Reported to FDA2018-11-13
Date Reported to Mfgr2018-11-20
Date Added to Maude2018-11-20
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Generic NameSYSTEM, DRAPE, X-RAY
Product CodeKKX
Date Received2018-11-20
Model Number07-CA601
Catalog Number07-CA601
Lot Number80647C8150
Device AvailabilityY
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerADVANCE MEDICAL DESIGNS, INC.
Manufacturer Address1241 ATLANTA INDUSTRIAL DRIVE MARIETTA GA 30066 US 30066


Patients

Patient NumberTreatmentOutcomeDate
10 2018-11-20

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