DEROYAL ELASTIC BANDAGE 31-486

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-04-15 for DEROYAL ELASTIC BANDAGE 31-486 manufactured by Deroyal Industries, Inc..

Event Text Entries

[142237532] Deroyal elastic bandages with debris in sterile package. Fda safety report id# (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5085900
MDR Report Key8518982
Date Received2019-04-15
Date of Report2019-04-11
Date of Event2019-04-11
Date Added to Maude2019-04-16
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameDEROYAL ELASTIC BANDAGE
Generic NameBANDAGE, ELASTIC
Product CodeFQM
Date Received2019-04-15
Catalog Number31-486
Lot Number48904201
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerDEROYAL INDUSTRIES, INC.
Manufacturer AddressUS


Patients

Patient NumberTreatmentOutcomeDate
10 2019-04-15

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