EXPRESS AIRE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2012-11-19 for EXPRESS AIRE manufactured by Rolyan.

Event Text Entries

[17450068] Date of event: (b)(6) 2012. Five different pts complaining of pain and bruising in the thigh area. The location of pain and bruising coincides with tourniquet cuff placement.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5027815
MDR Report Key2855526
Date Received2012-11-19
Date of Report2012-11-19
Date of Event2012-10-10
Date Added to Maude2012-12-05
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameEXPRESS AIRE
Generic NameTOURNIQUET
Product CodeGAX
Date Received2012-11-19
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerROLYAN
Manufacturer AddressUNK


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2012-11-19

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