OR510T

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-03-26 for OR510T manufactured by Medline.

Event Text Entries

[103455693]
Patient Sequence No: 1, Text Type: N, H10


[103455694] The suction equipment malfunctioned in four rooms in the tower. Two icu's had difficulty maintaining adequate suction while intubating and during bronchoscopies. In one instance, one rn had to manually hold the suction canister closed during bronchoscopy. Materials management contacted and will need to follow up with manufacturer. Both lots returned to medline.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number7369544
MDR Report Key7369544
Date Received2018-03-26
Date of Report2018-03-12
Date of Event2018-02-07
Report Date2018-02-20
Date Reported to FDA2018-02-20
Date Reported to Mfgr2018-02-20
Date Added to Maude2018-03-26
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
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

Generic NameTUBING, SUCTION
Product CodeBYY
Date Received2018-03-26
Model NumberOR510T
Catalog NumberOR510T
Lot Number(10)48617090001
ID NumberSUCTION LINER #1000ML, LOT #
Device AvailabilityY
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE
Manufacturer AddressONE MEDLINE PL. MUNDELEIN IL 60060 US 60060


Patients

Patient NumberTreatmentOutcomeDate
10 2018-03-26

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