NOVAPLUS NOVA20235

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-02-13 for NOVAPLUS NOVA20235 manufactured by Medline Industries, Inc..

Event Text Entries

[67270612]
Patient Sequence No: 1, Text Type: N, H10


[67270613] Sharp edge on new plastic urinal caused skin injury to two patients on two separate occasions. Manufacturer response for plastic disposal urinal, novaplus (per site reporter): original advice was to return items of concern to them for replacement, which the hospital materials management department at the hospital did. However, we were advised that #275-4 reflects that this urinal was manufactured by a specific machine. We were also advised that we would continue to receive urinals manufactured by this machine in the future. We were also advised that the shipping box would contain urinals manufactured by multiple machines and assigned a lot number on the outer box. The hospital is stocked with individual urinals that do not reflect the lot number on the product.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number6325507
MDR Report Key6325507
Date Received2017-02-13
Date of Report2017-01-23
Date of Event2017-01-16
Report Date2017-01-23
Date Reported to FDA2017-01-23
Date Reported to Mfgr2017-01-23
Date Added to Maude2017-02-13
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
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 NameNOVAPLUS
Generic NamePLASTIC DISPOSAL URINAL
Product CodeFNP
Date Received2017-02-13
Returned To Mfg2017-01-20
Model NumberNOVA20235
Catalog NumberNOVA20235
Lot NumberN/A
ID NumberN/A
Device AvailabilityR
Device Age1 DY
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE INDUSTRIES, INC.
Manufacturer Address1200 TOWNLINE ROAD MUNDELEIN IL 60060 US 60060


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-02-13

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