* DYND80206

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2006-12-19 for * DYND80206 manufactured by Medline.

Event Text Entries

[16820096] Bedpan was intact when placed under the patient, was cracked/broken upon removal. Patient sustained small contusion to buttocks.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1041394
MDR Report Key796761
Date Received2006-12-19
Date of Report2006-12-19
Date of Event2006-12-04
Date Added to Maude2006-12-22
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand Name*
Generic NameBEDPAN
Product CodeFOB
Date Received2006-12-19
Model NumberDYND80206
Catalog Number*
Lot Number*
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Age*
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key784314
ManufacturerMEDLINE
Manufacturer Address* * US


Patients

Patient NumberTreatmentOutcomeDate
10 2006-12-19

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