MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,05,06 report with the FDA on 2015-01-16 for UNOMETER SAFETI PLUS - WITH LUER LOCK AND LUER 158101310190 manufactured by Unomedical Ltd..
[5419753]
It was reported the urinometer was attached to the patient's catheter; when the patient was turned, approximately 2 hours later, the nurse noted the urinometer had become detached from the catheter. As a result, the patient's bed linens were wet. The urinometer was discontinued at that time and replaced with a leg bag.
Patient Sequence No: 1, Text Type: D, B5
[12926103]
Based on the available information, this event is deemed a reportable malfunction. There were no reports of the patient being harmed as a result of this malfunction. No additional patient/event details were available at the time of this report. Should additional information becomes available, a follow-up report will be submitted.
Patient Sequence No: 1, Text Type: N, H10
| Report Number | 3007966929-2015-00020 |
| MDR Report Key | 4432402 |
| Report Source | 01,05,06 |
| Date Received | 2015-01-16 |
| Date of Report | 2015-01-05 |
| Date of Event | 2014-12-23 |
| Date Mfgr Received | 2015-01-05 |
| Device Manufacturer Date | 2014-09-01 |
| Date Added to Maude | 2015-02-05 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Manufacturer Contact | MATTHEW WALENCIAK, INTERIM ASSOC. |
| Manufacturer Street | 211 AMERICAN AVE. |
| Manufacturer City | GREENSBORO NC 27409 |
| Manufacturer Country | US |
| Manufacturer Postal | 27409 |
| Manufacturer Phone | 9083779293 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | UNOMETER SAFETI PLUS - WITH LUER LOCK AND LUER |
| Generic Name | URINOMETER, MECHANICAL |
| Product Code | EXR |
| Date Received | 2015-01-16 |
| Model Number | 158101310190 |
| Lot Number | 170548 |
| Device Expiration Date | 2019-08-01 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Age | DA |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | UNOMEDICAL LTD. |
| Manufacturer Address | ZAVODSKAYA STREET 50 FANIPOL DZERZHINSK DISTRICT MINSK REGION 222750 BO 222750 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2015-01-16 |