DYND802358

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-12-22 for DYND802358 manufactured by Medline.

Event Text Entries

[1823875] Pt sustained cut near scrotum due to very sharp edges (burs). Nine cases received (b)(6) 2010 returned to medline secondary to burs.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5018686
MDR Report Key1938525
Date Received2010-12-22
Date of Report2010-12-13
Date of Event2010-11-24
Date Added to Maude2011-01-04
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Sequence Number: 1

Generic NameMALE URINAL -GRADUATED URINAL WITH LID 32 OZ.
Product CodeFNP
Date Received2010-12-22
Returned To Mfg2010-12-02
Catalog NumberDYND802358
Lot Number215510025-0053
OperatorLAY USER/PATIENT
Device AvailabilityR
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE

Device Sequence Number: 2

Generic NameMALE URINAL -GRADUATED URINAL WITH LID 32 OZ
Product CodeFNP
Date Received2010-12-22
Returned To Mfg2010-12-02
Lot Number515610009-037
OperatorLAY USER/PATIENT
Device AvailabilityR
Device Sequence No2
Device Event Key0
ManufacturerMEDLINE


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2010-12-22

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