CAVIWIPES1 13-5100

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-10-20 for CAVIWIPES1 13-5100 manufactured by Metrex Research.

Event Text Entries

[90032797] Employee was opening a new container of caviwipes 1, when she broke the seal there was a foreign object. It appears to be metal with rust around it. Package was completely sealed.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5072847
MDR Report Key6964347
Date Received2017-10-20
Date of Report2017-10-17
Date of Event2017-10-16
Date Added to Maude2017-10-20
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationUNKNOWN
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameCAVIWIPES1
Generic NameGERMICIDAL WIPES
Product CodeLRJ
Date Received2017-10-20
Model Number13-5100
Lot Number17-1003PA
Device Expiration Date2019-01-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerMETREX RESEARCH
Manufacturer AddressUS


Patients

Patient NumberTreatmentOutcomeDate
10 2017-10-20

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