UNOMETER SAFETI PLUS - WITH LUER-LOCK & LUER 158100510190

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,08 report with the FDA on 2015-02-26 for UNOMETER SAFETI PLUS - WITH LUER-LOCK & LUER 158100510190 manufactured by Unomedical Ltd..

Event Text Entries

[5472802] It was reported that the pt had an urinometer placed while undergoing surgery. Initially, the pt had 'very low' diuresis. Two bottles of albumin 20% and five milligrams of furosemidum were administered to the pt with no result. The hosp staff then inspected the urinometer and found the insert to the chamber was loose and had stopped the flow of urine. No further info was provided.
Patient Sequence No: 1, Text Type: D, B5


[13000410] Based on the available info, this event is deemed a reportable malfunction. There were no reports of the pt being harmed as a result of this malfunction. Additional pt and event details have been requested. Should additional info become available, a follow-up report will be submitted. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3007966929-2015-00030
MDR Report Key4563777
Report Source01,08
Date Received2015-02-26
Date of Report2015-01-30
Date of Event2015-01-26
Date Mfgr Received2015-01-30
Device Manufacturer Date2014-04-01
Date Added to Maude2015-03-31
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMATTHEW WALENCIAK, INTERIM ASSOC
Manufacturer Street211 AMERICAN AVE
Manufacturer CityGREENSBORO NC 27409
Manufacturer CountryUS
Manufacturer Postal27409
Manufacturer Phone9083779293
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUNOMETER SAFETI PLUS - WITH LUER-LOCK & LUER
Product CodeEXR
Date Received2015-02-26
Model Number158100510190
Lot Number491798
Device Expiration Date2019-03-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerUNOMEDICAL LTD.
Manufacturer Address50 FANIPOL ZAVODSKAYA STREET DZERZHINSK DISTRICT MINSK REGION, MINSKA 222750 BO 222750


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2015-02-26

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