MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a user facility report with the FDA on 2018-08-02 for URINE METER 158100140190 manufactured by Unomedical Zavodskaya Street 50.
[116070297]
Common device name: device, urine flow rate measuring, non-electrical, disposable. Product code: ffg. (b)(6). Based on the available information, this event is deemed to be a reportable malfunction. Additional patient/event details have been requested but none have been provided to date. Should additional information become available a follow-up report will be submitted. (b)(4).
Patient Sequence No: 1, Text Type: N, H10
[116070298]
It was reported that a? Urinary stasis in the double lumen tube? Issue occurred in a total of three (3) unometer safeti-plus device (s). There was no reported patient harm. A photograph depicting the reported issue was provided. Although requested, no additional information was provided.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 3007966929-2018-00012 |
MDR Report Key | 7742643 |
Report Source | USER FACILITY |
Date Received | 2018-08-02 |
Date of Event | 2018-06-07 |
Date Mfgr Received | 2018-10-04 |
Date Added to Maude | 2018-08-02 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Contact | MS. JEANETTE JOHNSON |
Manufacturer Street | 7900 TRIAD CENTER DRIVE SUITE 400 |
Manufacturer City | GREENSBORO NC 27409 |
Manufacturer Country | US |
Manufacturer Postal | 27409 |
Manufacturer G1 | UNOMEDICAL ZAVODSKAYA STREET 50 |
Manufacturer Street | FE UNOMEDICAL LTD MINSK REGION |
Manufacturer City | MINSKAYA VOBLASTS |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 0 |
Brand Name | URINE METER |
Product Code | FFG |
Date Received | 2018-08-02 |
Model Number | 158100140190 |
Lot Number | 307880 |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Age | DA |
Device Eval'ed by Mfgr | N |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | UNOMEDICAL ZAVODSKAYA STREET 50 |
Manufacturer Address | FE UNOMEDICAL LTD MINSK REGION MINSKAYA VOBLASTS |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2018-08-02 |