N/A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-11-29 for N/A manufactured by Unknown.

Event Text Entries

[93189070]
Patient Sequence No: 1, Text Type: N, H10


[93189071] Fluid warmer drape used during the surgical procedure was seeping through the drape. Fluid noted in the fluid warmer equipment.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number7066623
MDR Report Key7066623
Date Received2017-11-29
Date of Report2017-11-21
Date of Event2017-11-06
Report Date2017-11-21
Date Reported to FDA2017-11-21
Date Reported to Mfgr2017-11-21
Date Added to Maude2017-11-29
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
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 NameN/A
Generic NameWARMER, IRRIGATION SOLUTION
Product CodeLHC
Date Received2017-11-29
Lot Number17IK0489
ID NumberDYNJ52564A
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerUNKNOWN


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-11-29

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