MAUDE Adverse Event Report: STRYKER INSTRUMENTS-KALAMAZOO FLYTE TOGA, XL, PULLOVER; GOWN, SURGICAL.

Catalog Number 0408730000

Device Problem Torn Material (3024)

Patient Problem No Consequences Or Impact To Patient (2199)

Event Date 06/16/2017

Event Type  malfunction  

Manufacturer Narrative

Device discarded by customer.

Event Description

It was reported that during a surgical procedure at the user facility the waist belt was torn on the toga.The procedure was completed successfully without a clinically significant delay, adverse consequences, or medical intervention.

• Brand Name: FLYTE TOGA, XL, PULLOVER
• Type of Device: GOWN, SURGICAL.
• Manufacturer (Section D): STRYKER INSTRUMENTS-KALAMAZOO; 4100 east milham avenue; kalamazoo MI 49001
• Manufacturer (Section G): STRYKER INSTRUMENTS-KALAMAZOO; 4100 east milham avenue; kalamazoo MI 49001
• Manufacturer Contact: casey metzger ; 4100 east milham avenue; kalamazoo, MI 49001 ; 2693237700
• MDR Report Key: 6662978
• MDR Text Key: 78250707
• Report Number: 0001811755-2017-01337
• Device Sequence Number: 1
• Product Code: FYA
• Combination Product (y/n): N
• PMA/PMN Number: K073017
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: company representative
• Reporter Occupation: Other
• Type of Report: Initial
• Report Date: 06/23/2017

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Catalogue Number: 0408730000
• Device Lot Number: 15091524
• Was Device Available for Evaluation?: No
• Initial Date Manufacturer Received: 06/19/2017
• Initial Date FDA Received: 06/23/2017
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Date Device Manufactured: 04/01/2015
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1