CONVERTORS 9575

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-03-20 for CONVERTORS 9575 manufactured by Cardinal Health 200, Llc.

Event Text Entries

[184276168] During set up and opening for a surgical case in the operating room, a scrub tech identified a problem with manufacturing packaging of surgical gowns. The inner sterile dust cover around the gown had been sealed in the outer packaging wrap adhesive edge.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9859708
MDR Report Key9859708
Date Received2020-03-20
Date of Report2020-03-03
Date of Event2020-03-03
Report Date2020-03-03
Date Reported to FDA2020-03-03
Date Reported to Mfgr2020-03-20
Date Added to Maude2020-03-20
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 OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCONVERTORS
Generic NameGOWN, SURGICAL
Product CodeFYA
Date Received2020-03-20
Model Number9575
Catalog Number9575
Lot Number19JCQ009
Device AvailabilityY
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerCARDINAL HEALTH 200, LLC
Manufacturer Address3651 BIRCHWOOD DRIVE WAUKEGAN IL 60085 US 60085


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-20

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