CUSTOM GYN URO ROBOT PACK SMA8FGRGMH

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-04-03 for CUSTOM GYN URO ROBOT PACK SMA8FGRGMH manufactured by Cardinal.

Event Text Entries

[104459479] Custom gyn uro robot pack contained incorrect count of gauze - labeled count 10, contents 11.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5076308
MDR Report Key7395501
Date Received2018-04-03
Date of Report2018-04-02
Date of Event2018-04-02
Date Added to Maude2018-04-04
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameCUSTOM GYN URO ROBOT PACK
Generic NameGAUZE
Product CodeNAB
Date Received2018-04-03
Catalog NumberSMA8FGRGMH
Lot Number853686
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerCARDINAL
Manufacturer AddressWAUKEGAN


Patients

Patient NumberTreatmentOutcomeDate
10 2018-04-03

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