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U.S. Department of Health and Human Services

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

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STRYKER INSTRUMENTS-KALAMAZOO FLYTE TOGA, XL, ZIPPER, PEELAWAY; GOWN, SURGICAL Back to Search Results
Catalog Number 0408830100
Device Problem Material Integrity Problem (2978)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 01/23/2018
Event Type  malfunction  
Event Description
It was reported that after a surgical procedure at the user facility, a blood spot was found on the inside of a toga.The procedure was completed successfully without a clinically significant delay, adverse consequences, or medical intervention.
 
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Brand Name
FLYTE TOGA, XL, ZIPPER, PEELAWAY
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
zachary baker
4100 east milham avenue
kalamazoo, MI 49001
2693237700
MDR Report Key7286950
MDR Text Key100671094
Report Number0001811755-2018-00439
Device Sequence Number1
Product Code FYA
UDI-Device Identifier4546540591821
UDI-Public(01)4546540591821
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K073017
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type user facility
Reporter Occupation Other
Type of Report Initial
Report Date 02/21/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/21/2018
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number0408830100
Device Lot Number17092521
Was Device Available for Evaluation? No
Date Manufacturer Received01/23/2018
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured04/02/2017
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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