MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2019-02-06 for UNISOLVE 8.0 OZ BTL 01 59402500 manufactured by Smith & Nephew Medical Ltd..
[135239006]
.
Patient Sequence No: 1, Text Type: N, H10
[135239007]
It was reported that during use of the product, the patient suffered from a burn.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 8043484-2019-00087 |
| MDR Report Key | 8312934 |
| Report Source | CONSUMER |
| Date Received | 2019-02-06 |
| Date of Report | 2019-06-30 |
| Date of Event | 2019-01-09 |
| Date Mfgr Received | 2019-06-21 |
| Date Added to Maude | 2019-02-06 |
| 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 | DR. SARAH FREESTONE |
| Manufacturer Street | 101 HESSLE ROAD |
| Manufacturer City | HULL HU3 2BN |
| Manufacturer Country | UK |
| Manufacturer Postal | HU3 2 BN |
| Manufacturer G1 | SMITH & NEPHEW MEDICAL LTD. |
| Manufacturer Street | 101 HESSLE ROAD |
| Manufacturer City | HULL HU3 2BN |
| Manufacturer Country | UK |
| Manufacturer Postal Code | HU3 2BN |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | UNISOLVE 8.0 OZ BTL 01 |
| Generic Name | ABSORBER, CARBON-DIOXIDE |
| Product Code | BSF |
| Date Received | 2019-02-06 |
| Catalog Number | 59402500 |
| Lot Number | 57445 |
| Device Availability | * |
| Device Age | DA |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | SMITH & NEPHEW MEDICAL LTD. |
| Manufacturer Address | 101 HESSLE ROAD HULL UK |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2019-02-06 |