MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-06-27 for CYSTO PACK DYNJ49344 manufactured by Medline Industries, Inc..
| Report Number | MW5087685 |
| MDR Report Key | 8744231 |
| Date Received | 2019-06-27 |
| Date of Report | 2019-06-25 |
| Date of Event | 2019-06-24 |
| Date Added to Maude | 2019-06-28 |
| 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 |
| 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 | CYSTO PACK |
| Generic Name | DRAPE, SURGICAL |
| Product Code | KKX |
| Date Received | 2019-06-27 |
| Model Number | DYNJ49344 |
| Catalog Number | DYNJ49344 |
| Lot Number | 19BBI244 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | MEDLINE INDUSTRIES, INC. |
| Manufacturer Address | NORTHFIELD IL 60093 US 60093 |
| Brand Name | CYSTO PACK |
| Generic Name | DRAPE, SURGICAL |
| Product Code | KKX |
| Date Received | 2019-06-27 |
| Model Number | DYNJ49344 |
| Device Availability | * |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 2 |
| Device Event Key | 0 |
| Manufacturer | MEDLINE INDUSTRIES, INC. |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-06-27 |