EXIDINE * 4489

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2013-08-01 for EXIDINE * 4489 manufactured by Carefusion.

Event Text Entries

[3824195] The solution was found leaking within the packaging prior to use. What was the original intended procedure? Unknown. Device #1is this a laboratory device or laboratory test? No.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3273391
MDR Report Key3273391
Date Received2013-08-01
Date of Report2013-08-01
Date of Event2013-05-23
Report Date2013-08-01
Date Reported to FDA2013-08-01
Date Reported to Mfgr2013-08-09
Date Added to Maude2013-08-09
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameEXIDINE
Generic NameSKIN PREP TRAY
Product CodeOJU
Date Received2013-08-01
Model Number*
Catalog Number4489
Lot Number0000536006
ID Number*
OperatorNURSE
Device AvailabilityY
Device Age*
Device Sequence No1
Device Event Key0
ManufacturerCAREFUSION
Manufacturer Address10020 PACIFIC MESA BLVD SAN DIEGO CA 92121 US 92121


Patients

Patient NumberTreatmentOutcomeDate
10 2013-08-01
20 2013-08-01

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