URINE METER 158100140190

MAUDE Adverse Event Report

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.

Event Text Entries

[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


MAUDE Entry Details

Report Number3007966929-2018-00012
MDR Report Key7742643
Report SourceUSER FACILITY
Date Received2018-08-02
Date of Event2018-06-07
Date Mfgr Received2018-10-04
Date Added to Maude2018-08-02
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. JEANETTE JOHNSON
Manufacturer Street7900 TRIAD CENTER DRIVE SUITE 400
Manufacturer CityGREENSBORO NC 27409
Manufacturer CountryUS
Manufacturer Postal27409
Manufacturer G1UNOMEDICAL ZAVODSKAYA STREET 50
Manufacturer StreetFE UNOMEDICAL LTD MINSK REGION
Manufacturer CityMINSKAYA VOBLASTS
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameURINE METER
Product CodeFFG
Date Received2018-08-02
Model Number158100140190
Lot Number307880
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerUNOMEDICAL ZAVODSKAYA STREET 50
Manufacturer AddressFE UNOMEDICAL LTD MINSK REGION MINSKAYA VOBLASTS


Patients

Patient NumberTreatmentOutcomeDate
10 2018-08-02

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