MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-02-22 for SOL-FORM GAUZE BANDAGE manufactured by Unk.
[100940193]
Opened a sterile sof-form conforming stretch gauze bandage and started wrapping it around a patient's foot and found a tied knot in the gauze. Therapy start date: (b)(6) 2018. Therapy end date: (b)(6) 2018.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5075480 |
| MDR Report Key | 7292964 |
| Date Received | 2018-02-22 |
| Date of Report | 2018-02-20 |
| Date of Event | 2018-02-20 |
| Date Added to Maude | 2018-02-23 |
| Event Key | 0 |
| Report Source Code | Voluntary 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 | OTHER HEALTH CARE PROFESSIONAL |
| 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 | 0 |
| Brand Name | SOL-FORM GAUZE BANDAGE |
| Generic Name | SOL-FORM GAUZE BANDAGE |
| Product Code | NAB |
| Date Received | 2018-02-22 |
| Device Availability | Y |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | UNK |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2018-02-22 |