MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-10-25 for ILLINOIS NEEDLE BONE MARROW 15G ADJ LEN DIN1515X manufactured by Carefusion, Inc.
[91019451]
(b)(6). A supplement mdr will be submitted upon completion of investigation.
Patient Sequence No: 1, Text Type: N, H10
[91019452]
The packages were unsealed during visual inspection at (b)(6).
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 9680904-2017-00214 |
| MDR Report Key | 6978249 |
| Date Received | 2017-10-25 |
| Date of Report | 2018-02-07 |
| Date of Event | 2017-09-27 |
| Date Mfgr Received | 2017-09-27 |
| Date Added to Maude | 2017-10-25 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | BDX ANNA WEHRHEIM |
| Manufacturer Street | 400 EAST FOSTER RD |
| Manufacturer City | MANNFORD OK 74044 |
| Manufacturer Country | US |
| Manufacturer Postal | 74044 |
| Manufacturer G1 | CAREFUSION, INC |
| Manufacturer Street | ZONA FRANCA LAS AMERICAS |
| Manufacturer City | SANTO DOMINGO |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | ILLINOIS NEEDLE BONE MARROW 15G ADJ LEN |
| Generic Name | BONE MARROW BIOPSY |
| Product Code | FSH |
| Date Received | 2017-10-25 |
| Catalog Number | DIN1515X |
| Lot Number | 0001086663 |
| Device Availability | * |
| Device Age | DA |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | CAREFUSION, INC |
| Manufacturer Address | 75 N. FAIRVIEW DRIVE VERNON HILLS IL 60061 US 60061 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2017-10-25 |