MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-11-08 for PRESOURCE ORTHO PACK SOP56RCDCX manufactured by Cardinal Health 200, Llc.
[59390619]
Patient Sequence No: 1, Text Type: N, H10
[59390620]
Rotator cuff pack had a hole in the pack. I had both my tables open and didn't know what i had and had not touched when i discovered it so i immediately stopped and broke everything down. I had the case repulled and we started over with everything brand new.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 6085889 |
MDR Report Key | 6085889 |
Date Received | 2016-11-08 |
Date of Report | 2016-10-19 |
Date of Event | 2016-10-18 |
Report Date | 2016-10-19 |
Date Reported to FDA | 2016-10-19 |
Date Reported to Mfgr | 2016-10-19 |
Date Added to Maude | 2016-11-08 |
Event Key | 0 |
Report Source Code | User Facility report |
Manufacturer Link | N |
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 | 3 |
Event Location | 3 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | PRESOURCE ORTHO PACK |
Generic Name | GENERAL SURGERY TRAY |
Product Code | LRP |
Date Received | 2016-11-08 |
Model Number | SOP56RCDCX |
Lot Number | 547887 |
Operator | NURSE |
Device Availability | N |
Device Eval'ed by Mfgr | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | CARDINAL HEALTH 200, LLC |
Manufacturer Address | 1320 DON HASKINS SUITE A EL PASO TX 79936 US 79936 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2016-11-08 |