MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2020-03-10 for HALYARD GOWN SURG NON-REINFORCED 72888 manufactured by Halyard Health.
| Report Number | 3014527682-2020-00003 |
| MDR Report Key | 9813683 |
| Report Source | HEALTH PROFESSIONAL |
| Date Received | 2020-03-10 |
| Date of Report | 2020-03-10 |
| Date of Event | 2019-07-22 |
| Date Mfgr Received | 2019-07-27 |
| Date Added to Maude | 2020-03-10 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| 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 |
| Manufacturer Contact | MRS. CHEYENNE STEWART |
| Manufacturer Street | 3000 EAST SAWYER ROAD |
| Manufacturer City | REPUBLIC MO 65738 |
| Manufacturer Country | US |
| Manufacturer Postal | 65738 |
| Manufacturer Phone | 4177303937 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | HALYARD GOWN SURG NON-REINFORCED |
| Generic Name | HALYARD GOWN SURG NON-REINFORCED |
| Product Code | FYA |
| Date Received | 2020-03-10 |
| Catalog Number | 72888 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | HALYARD HEALTH |
| Manufacturer Address | ALPHARETTA GA US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2020-03-10 |