TBD 509047

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-02-15 for TBD 509047 manufactured by .

Event Text Entries

[67876381] Brand name: unometer safeti. Common device name: device urine flow rate measuring, non-electrical. Procode: ffg. (b)(6). Based on the available information, this event is deemed a product malfunction. No patient harm was reported. Additional details have been requested but not provided to date. Should additional information become available, a follow up report will be submitted. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[67876382] Complaint reported by a doctor that "the urine did not flow into the collection room" of the device. The device was removed. No further information was available.
Patient Sequence No: 1, Text Type: D, B5


[75535675] A batch record review was performed; and a non-conformance (nc) from a previous complaint was opened which is associated with this reported issue. The nc has been closed and no further investigation is required. The investigation concluded that the likely root cause for the issue, "stop flow between patient and chamber of the unometer product" cannot be identified based on the information received. This issue will be monitored through the post market product monitoring review process. No additional patient/details has been provided regarding the reported event. Should additional information become available at a later date, a follow-up report will be submitted.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3007966929-2017-00008
MDR Report Key6332648
Date Received2017-02-15
Date Mfgr Received2017-04-17
Date Added to Maude2017-02-15
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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 NameTBD
Product CodeFFG
Date Received2017-02-15
Model Number509047
Lot Number227856
Device Expiration Date2020-01-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0


Patients

Patient NumberTreatmentOutcomeDate
10 2017-02-15

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