IV START KIT DYND74283

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-11-17 for IV START KIT DYND74283 manufactured by Medline Industries Inc..

Event Text Entries

[31351055]
Patient Sequence No: 1, Text Type: N, H10


[31351056] Iv start kits have a tegaderm dressing that staff are having trouble removing from packaging. The tegaderm is wrinkled and unusable. No patient harm but necessitating gathering other sets to get necessary dressing.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number5229219
MDR Report Key5229219
Date Received2015-11-17
Date of Report2015-10-29
Date of Event2015-10-27
Report Date2015-10-29
Date Reported to FDA2015-10-29
Date Reported to Mfgr2015-10-29
Date Added to Maude2015-11-17
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 Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameIV START KIT
Generic NameKIT, I.V. START
Product CodeLRS
Date Received2015-11-17
Catalog NumberDYND74283
Lot Number15SB5302
Device Expiration Date2018-03-01
OperatorNURSE
Device AvailabilityY
Device Age1 DY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE INDUSTRIES INC.
Manufacturer AddressONE MEDLINE PLACE MUNDELEIN IL 60060 US 60060


Patients

Patient NumberTreatmentOutcomeDate
10 2015-11-17

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