UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1997-10-16 for UNK manufactured by Burlington Medical Supplies.

Event Text Entries

[101805] Facility notified of recall by mfr and advised to check the lead aprons for contamination. Aprons were checked and found to be contaminated. Aprons returned to mfr.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1012284
MDR Report Key126513
Date Received1997-10-16
Date of Report1997-10-16
Date of Event1997-09-24
Date Added to Maude1997-10-20
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameUNK
Generic NameLEAD APRONS
Product CodeEAJ
Date Received1997-10-16
Returned To Mfg1997-10-15
Model NumberUNK
Catalog NumberUNK
Lot NumberUNK
ID NumberLW601
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key123819
ManufacturerBURLINGTON MEDICAL SUPPLIES
Manufacturer Address3 ELMHURST ST NEWPORT NEWS VA 23603 US


Patients

Patient NumberTreatmentOutcomeDate
10 1997-10-16

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