MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-06-12 for CASE SOIL INDICATOR CSI001 manufactured by Case Medical Inc..
| Report Number | MW5087311 |
| MDR Report Key | 8695878 |
| Date Received | 2019-06-12 |
| Date of Report | 2019-06-10 |
| Date of Event | 2019-05-14 |
| Date Added to Maude | 2019-06-13 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| 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 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | CASE SOIL INDICATOR |
| Generic Name | INDICATOR, PHYSICAL / CHEMICAL STERILIZATION PROCESS |
| Product Code | JOJ |
| Date Received | 2019-06-12 |
| Returned To Mfg | 2019-05-10 |
| Model Number | CSI001 |
| Lot Number | 1274070 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | R |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | CASE MEDICAL INC. |
| Manufacturer Address | SOUTH HACKENSACK NJ 07606 US 07606 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-06-12 |