MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-05-17 for GRHS CUSTOM T & A PACK GITA12A 1 manufactured by American Contract Systems.
[145685939]
Hair found on backtable cover under the other stacked supplies. Short hair similar to an eyelash or eyebrow. Fda safety report id# (b)(4).
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5086752 |
| MDR Report Key | 8624224 |
| Date Received | 2019-05-17 |
| Date of Report | 2019-05-16 |
| Date of Event | 2019-04-22 |
| Date Added to Maude | 2019-05-20 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | GRHS CUSTOM T & A PACK |
| Generic Name | EAR, NOSE, AND THROAT SURGICAL TRAY |
| Product Code | OGR |
| Date Received | 2019-05-17 |
| Catalog Number | GITA12A 1 |
| Lot Number | 956191 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | AMERICAN CONTRACT SYSTEMS |
| Manufacturer Address | FL US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2019-05-17 |