ACS CDEX31D

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-03-27 for ACS CDEX31D manufactured by American Contract Systems.

Event Text Entries

[185223703] Sterility issue, hair in sterile pack: cmc extremity pack opened on back table. Removed self-contained sterile splash basin pack to ring stand. Upon opening the sterile wrap enclosing the splash basin, saw a hair against the sidewall of the inner basin. Splash and contents not used; additional sterile supplies obtained.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9888212
MDR Report Key9888212
Date Received2020-03-27
Date of Report2020-03-23
Date of Event2020-03-12
Report Date2020-03-23
Date Reported to FDA2020-03-23
Date Reported to Mfgr2020-03-27
Date Added to Maude2020-03-27
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 NameACS
Generic NameGENERAL SURGERY TRAY
Product CodeLRO
Date Received2020-03-27
Model NumberCDEX31D
Lot Number955201
Device AvailabilityY
Device Age1 DA
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerAMERICAN CONTRACT SYSTEMS
Manufacturer Address7300 W DETROIT ST CHANDLER AZ 85226 US 85226


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-27

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