MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-08-08 for LSL STERILE IV START KIT 3272 manufactured by Lsl Industries, Inc..
[116450177]
One kit missing tourniquet. One kit missing all contents.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 7761536 |
| MDR Report Key | 7761536 |
| Date Received | 2018-08-08 |
| Date of Report | 2018-08-01 |
| Date of Event | 2018-07-19 |
| Report Date | 2018-08-01 |
| Date Reported to FDA | 2018-08-01 |
| Date Reported to Mfgr | 2018-08-08 |
| Date Added to Maude | 2018-08-08 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | RISK MANAGER |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | LSL STERILE IV START KIT |
| Generic Name | I.V. START KIT |
| Product Code | LRS |
| Date Received | 2018-08-08 |
| Catalog Number | 3272 |
| Lot Number | 8F3162 |
| Device Availability | Y |
| Device Age | 1 DA |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | LSL INDUSTRIES, INC. |
| Manufacturer Address | 5535 N. WOLCOTT AVE. CHICAGO IL 60640 US 60640 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2018-08-08 |