MAUDE MDR 3273391

MDR report key
3273391
Report number
3273391
Event key
0
Event type
3
Date of event
2013-05-23
Date received
2013-08-01
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Report source
U
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1EXIDINESKIN PREP TRAYCAREFUSIONOJU*44890000536006 Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12013-08-010
22013-08-010

Event Narratives#

D

Patient 1

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.