SUPREME CLEAR URINAL WITH CLEAR COVER DYND80235S

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-06-10 for SUPREME CLEAR URINAL WITH CLEAR COVER DYND80235S manufactured by Medline Industries Inc..

Event Text Entries

[4674993] Patient sustained a minor cut from a urinal while in use. It is thought that the plastic on the urinal was too sharp and cut the patient's penis while trying to use the urinal. The nurse applied pressure to stop the bleeding and no additional treatment was required. ======================manufacturer response for supreme urinal/ clear w/cover, medline (per site reporter). ======================the sales rep thank me for telling him.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3893501
MDR Report Key3893501
Date Received2014-06-10
Date of Report2014-06-10
Date of Event2014-05-23
Report Date2014-06-10
Date Reported to FDA2014-06-10
Date Reported to Mfgr2014-06-25
Date Added to Maude2014-06-25
Event Key0
Report Source CodeUser Facility 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 FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameSUPREME CLEAR URINAL WITH CLEAR COVER
Generic NameURINAL
Product CodeFNP
Date Received2014-06-10
Model NumberDYND80235S
Catalog NumberDYND80235S
Lot Number315104421 0271
ID Number*
OperatorPATIENT
Device AvailabilityY
Device Age1 DA
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE INDUSTRIES INC.
Manufacturer Address1 MEDLINE PLACE MUNDELEIN IL 60060 US 60060


Patients

Patient NumberTreatmentOutcomeDate
10 2014-06-10

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