GRHS CUSTOM C-SECTION PACK GICS36D 2

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-05-20 for GRHS CUSTOM C-SECTION PACK GICS36D 2 manufactured by American Contract Systems.

Event Text Entries

[145836942] Hair found in pack when setting up for scheduled c-section. Fda safety report id# (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5086790
MDR Report Key8627878
Date Received2019-05-20
Date of Report2019-05-16
Date of Event2019-05-08
Date Added to Maude2019-05-21
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameGRHS CUSTOM C-SECTION PACK
Generic NameCESAREAN SECTION TRAY
Product CodeOHM
Date Received2019-05-20
Model NumberGICS36D 2
Lot Number935191
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerAMERICAN CONTRACT SYSTEMS
Manufacturer AddressMINNEAPOLIS MN 55437 US 55437


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-05-20

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