VOLLRATH 00195

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2005-12-06 for VOLLRATH 00195 manufactured by Medegen Medical Products.

Event Text Entries

[15031546] Four urinals were previously discovered with sharp edges. One urinal was involved in a minor injury. This incident was previously reported to fda. In the hopes of finding a safer urinal, a substitute product was ordered. This product was inspected prior to being put into patient use. Inspection revealed a sharp edge. Burr was present at the point in the opening where the two halves of the device were annealed, as well as at other points around the perimeter of the opening. The problem noted with the substitute urinal looked similar to the problem with the previous urinal. The plastic of the substitute product was a thicker plastic then the previous urinal. There is a potential for minor injury to a patient using the substitute urinal. Note: upon further investigation it was discovered that vollrath, the product manufacturer, is a division of medegen. Medegen manufactured the urinal that previously caused a minor injury.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number653506
MDR Report Key653506
Date Received2005-12-06
Date of Report2005-12-06
Date of Event2005-12-06
Report Date2005-12-06
Date Reported to FDA2005-12-06
Date Added to Maude2005-12-19
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameVOLLRATH
Generic NameMALE URINAL
Product CodeFNP
Date Received2005-12-06
Model Number00195
Catalog Number00195
Lot Number*
ID Number*
Device AvailabilityY
Device Age1 DY
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key642969
ManufacturerMEDEGEN MEDICAL PRODUCTS
Manufacturer Address206 MEDEGEN DR. GALLOWAY TN 38036 US


Patients

Patient NumberTreatmentOutcomeDate
10 2005-12-06

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