CAP ANTI-EMBOLISM STOCKINGS

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-02-17 for CAP ANTI-EMBOLISM STOCKINGS manufactured by Carolon Co..

Event Text Entries

[67677033]
Patient Sequence No: 1, Text Type: N, H10


[67677034] The rn obtained support stockings from the supply room. When in the room while opening the package the nurse noticed the stockings were moldy. The nurse returned to the supply room and noted all of the stockings in the same condition. The materials checked the lot number and removed all items with this lot number. Unfortunately, materials discarded the items instead of returning to the manufacturer.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number6338689
MDR Report Key6338689
Date Received2017-02-17
Date of Report2017-02-09
Date of Event2017-01-18
Report Date2017-02-09
Date Reported to FDA2017-02-09
Date Reported to Mfgr2017-02-09
Date Added to Maude2017-02-17
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 NameCAP ANTI-EMBOLISM STOCKINGS
Generic NameSTOCKING, MEDICAL SUPPORT (TO PREVENT POOLING OF BLOOD IN LEGS)
Product CodeDWL
Date Received2017-02-17
Lot Number288 16
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCAROLON CO.
Manufacturer Address601 FORUM PARKWAY RURAL HALL NC 27045 US 27045


Patients

Patient NumberTreatmentOutcomeDate
10 2017-02-17

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