MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-09-01 for PRE-KLENZ 1505-J5 manufactured by Steris Corporation.
[84327888]
Patient Sequence No: 1, Text Type: N, H10
[84327889]
New full can would not spray at all.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 6837554 |
| MDR Report Key | 6837554 |
| Date Received | 2017-09-01 |
| Date of Report | 2017-08-28 |
| Date of Event | 2017-08-09 |
| Report Date | 2017-08-28 |
| Date Reported to FDA | 2017-08-28 |
| Date Reported to Mfgr | 2017-08-28 |
| Date Added to Maude | 2017-09-01 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | RISK MANAGER |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | PRE-KLENZ |
| Generic Name | CLEANER, ULTRASONIC, MEDICAL INSTRUMENT |
| Product Code | FLG |
| Date Received | 2017-09-01 |
| Model Number | 1505-J5 |
| Catalog Number | 1505-J5 |
| Operator | NURSE |
| Device Availability | * |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | STERIS CORPORATION |
| Manufacturer Address | 7501 PAGE AVE. SAINT LOUIS MO 63133 US 63133 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2017-09-01 |