MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-07-01 for IV START KIT manufactured by Medical Action Industries, Inc 306.
| Report Number | MW5087805 |
| MDR Report Key | 8758238 |
| Date Received | 2019-07-01 |
| Date of Report | 2019-06-27 |
| Date of Event | 2019-06-19 |
| Date Added to Maude | 2019-07-03 |
| 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 | IV START KIT |
| Generic Name | I.V, START KIT |
| Product Code | LRS |
| Date Received | 2019-07-01 |
| Lot Number | 256353 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | MEDICAL ACTION INDUSTRIES, INC 306 |
| Manufacturer Address | MECHANICSVILLE VA 23116 US 23116 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-07-01 |