MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 00,01,06 report with the FDA on 2015-02-23 for UNOMETER SAFETI PLUS - WITH LUER-LOCK & LUER manufactured by Unomedical Ltd..
[5517641]
Complainant reported the silicone urinary catheter easily detaches from the device connector. The complainant further reported more than twenty product devices were affected but, the 'exact the number is unknown. '
Patient Sequence No: 1, Text Type: D, B5
[12791515]
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. Additional patient/event details have been requested. Should additional information become available, a followup report will be submitted. Note: a separate 3500a form has been completed for the unknown number of devices associated with this complaint issue. Reported to the fda on 02/20/2015.
Patient Sequence No: 1, Text Type: N, H10
| Report Number | 3007966929-2015-00027 |
| MDR Report Key | 4546675 |
| Report Source | 00,01,06 |
| Date Received | 2015-02-23 |
| Date of Report | 2015-01-29 |
| Date of Event | 2015-01-29 |
| Date Mfgr Received | 2015-01-29 |
| Date Added to Maude | 2015-03-26 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 0 |
| 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 |
| 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 & LUER |
| Generic Name | URINOMETER, MECHANICAL |
| Product Code | EXR |
| Date Received | 2015-02-23 |
| 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, MINSKAYA VOBLASTS 222750 BO 222750 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2015-02-23 |