MDT2168304

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-03-08 for MDT2168304 manufactured by Medline Industries Inc..

Event Text Entries

[139078021] It was reported that there were multiple incidents where blue or towels were noted linting during use. The linting from the blue or towels reportedly reached the surgical site for an unidentified number and type of procedures. Irrigation and changing of gloves was reportedly required after linting was noted. No impact to the patient, the procedure, or the total length of the procedure was reported. Due to the reported incident and required medical intervention, this medwatch is being filed. Samples are not available to be returned for evaluation. A root cause could not be determined at this time. No additional information is available. If additional information becomes available, this report will be reopened and reevaluated.
Patient Sequence No: 1, Text Type: N, H10


[139078022] It was reported that linting from blue or towels reached the surgical site/s.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1417592-2019-00032
MDR Report Key8404588
Date Received2019-03-08
Date of Report2019-03-08
Date of Event2019-02-01
Date Mfgr Received2019-02-12
Date Added to Maude2019-03-08
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 ContactBERMON PUNZALAN
Manufacturer StreetTHREE LAKES DRIVE
Manufacturer CityNORTHFIELD IL 60093
Manufacturer CountryUS
Manufacturer Postal60093
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Generic NameTOWEL,OR,DSP,ST,BLUE,HEAVY,4/PK,20PK/CS
Product CodeFRL
Date Received2019-03-08
Catalog NumberMDT2168304
Lot Number84318070121
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE INDUSTRIES INC.
Manufacturer AddressTHREE LAKES DRIVE NORTHFIELD IL 60093 US 60093


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-03-08

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