MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2018-11-16 for ESP 37415 manufactured by Boston Scientific Corporation.
[127454821]
The event date was not reported; the first date of the month of the aware date was used.
Patient Sequence No: 1, Text Type: N, H10
[127454822]
It was reported that several pairs of size 8 esp specialty gloves had been opened and every pair had a hole in the wrist. There were no patient or physician injuries or issues reported to have occurred.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 2134265-2018-62846 |
MDR Report Key | 8080117 |
Report Source | COMPANY REPRESENTATIVE,HEALTH |
Date Received | 2018-11-16 |
Date of Report | 2018-11-16 |
Date of Event | 2018-10-01 |
Date Mfgr Received | 2018-10-25 |
Device Manufacturer Date | 2017-08-10 |
Date Added to Maude | 2018-11-16 |
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 |
Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Contact | SONALI ARANGIL |
Manufacturer Street | TWO SCIMED PLACE |
Manufacturer City | MAPLE GROVE MN 55311 |
Manufacturer Country | US |
Manufacturer Postal | 55311 |
Manufacturer Phone | 6515827403 |
Manufacturer G1 | BOSTON SCIENTIFIC CORPORATION |
Manufacturer Street | 780 BROOKSIDE DRIVE |
Manufacturer City | SPENCER IN 47460 |
Manufacturer Country | US |
Manufacturer Postal Code | 47460 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | ESP |
Generic Name | GLOVE, PATIENT EXAMINATION, SPECIALTY |
Product Code | IWP |
Date Received | 2018-11-16 |
Model Number | 37415 |
Catalog Number | 37415 |
Lot Number | 0020986742 |
Device Expiration Date | 2019-02-05 |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Eval'ed by Mfgr | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | BOSTON SCIENTIFIC CORPORATION |
Manufacturer Address | TWO SCIMED PLACE MAPLE GROVE MN 55311 US 55311 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2018-11-16 |