MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-03-05 for UNK DYNJ49372A manufactured by Medline Industries.
[101839803]
Upon turning on room lights a large blue piece of lint was on the md's hand. Then a piece of lint was wiped off a coronary interventional wire.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5075685 |
| MDR Report Key | 7316850 |
| Date Received | 2018-03-05 |
| Date of Report | 2018-03-01 |
| Date Added to Maude | 2018-03-06 |
| 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 | UNK |
| Generic Name | GENERAL SURGERY TRAY |
| Product Code | PXV |
| Date Received | 2018-03-05 |
| Model Number | DYNJ49372A |
| Catalog Number | DYNJ49372A |
| Lot Number | 17LB1920 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | MEDLINE INDUSTRIES |
| Manufacturer Address | US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2018-03-05 |