24HR, WITH HYDROGEN PEROXIDE, ORAL SUCTION MDS606804HP

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-05-08 for 24HR, WITH HYDROGEN PEROXIDE, ORAL SUCTION MDS606804HP manufactured by Medline Industries Inc.

Event Text Entries

[107598907]
Patient Sequence No: 1, Text Type: N, H10


[107598908] When nurses perform oral care for patients, the sponges of the green suction swabs fell off into patients' mouths. This event happened on the multiple days. Manufacturer response for oral care products, 24 hr, with hydrogen peroxide, oral suction (per site reporter): medline's product quality team did inspection on their suction swabs in the factory and added extra glue to the swab in the manufacturing process. They replaced our stock with new lots.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number7494368
MDR Report Key7494368
Date Received2018-05-08
Date of Report2018-05-02
Date of Event2018-03-20
Report Date2018-04-26
Date Reported to FDA2018-04-26
Date Reported to Mfgr2018-04-26
Date Added to Maude2018-05-08
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

Brand Name24HR, WITH HYDROGEN PEROXIDE, ORAL SUCTION
Generic NameORAL CARE PRODUCTS
Product CodeNXZ
Date Received2018-05-08
Catalog NumberMDS606804HP
Lot Number18-039-1
OperatorNURSE
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE INDUSTRIES INC
Manufacturer AddressTHREE LAKES DRIVE NORTHFIELD IL 60093 US 60093


Patients

Patient NumberTreatmentOutcomeDate
10 2018-05-08

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