WATER PERFUSION MANOMETRY SQ15000805 NA

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-06-04 for WATER PERFUSION MANOMETRY SQ15000805 NA manufactured by Mms.

Event Text Entries

[5941571] Armdorfer and mms water perfusion manometry system has inadequate cleaning instructions. These devices were manufactured prior to 1976 and the cleaning instructions do not hold up to todays standards. These units are still in use throughout many hospitals.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5043025
MDR Report Key4834873
Date Received2015-06-04
Date of Report2015-06-04
Date of Event2015-06-01
Date Added to Maude2015-06-11
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Sequence Number: 1

Brand NameWATER PERFUSION MANOMETRY
Generic NameWATER PERFUSION MANOMETRY
Product CodeFFX
Date Received2015-06-04
Model NumberSQ15000805
Catalog NumberNA
Lot NumberNA
Device Expiration Date2015-06-01
OperatorOTHER
Device Sequence No1
Device Event Key0
ManufacturerMMS

Device Sequence Number: 2

Brand NameWATER PERFUSION MANOMETRY
Generic NameWATER PERFUSION MANOMETRY
Product CodeKLA
Date Received2015-06-04
Catalog NumberNA
Lot NumberNA
Device Sequence No2
Device Event Key0
ManufacturerARNDORFER


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2015-06-04

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