CUSTOM PACK C-SECTION

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-01-10 for CUSTOM PACK C-SECTION manufactured by Medline.

Event Text Entries

[64930049] Custom pack c-section includes drape with pouch, seam on pouch failed and exposed provider to fluids. Therapy start date: (b)(6) 2017. Therapy end date: (b)(6) 2017. Diagnosis for reason of use: c-section procedure.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5067188
MDR Report Key6245301
Date Received2017-01-10
Date of Report2017-01-10
Date of Event2017-01-03
Date Added to Maude2017-01-12
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameCUSTOM PACK C-SECTION
Generic NameCUSTOM PACK C-SECTION
Product CodeMLS
Date Received2017-01-10
Lot Number16JK1759
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE


Patients

Patient NumberTreatmentOutcomeDate
10 2017-01-10

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