ANESTHESIA MASKS

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-08-15 for ANESTHESIA MASKS manufactured by Medline Industries, Inc..

MAUDE Entry Details

Report Number8896327
MDR Report Key8896327
Date Received2019-08-15
Date of Report2019-08-06
Date of Event2019-07-15
Report Date2019-08-07
Date Reported to FDA2019-08-07
Date Reported to Mfgr2019-08-15
Date Added to Maude2019-08-15
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameANESTHESIA MASKS
Generic NameMASK, GAS, ANESTHETIC
Product CodeBSJ
Date Received2019-08-15
Returned To Mfg2019-07-18
Lot Number40019030108
Device AvailabilityR
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE INDUSTRIES, INC.
Manufacturer AddressTHREE LAKES DRIVE NORTHFIELD IL 60093 US 60093


Patients

Patient NumberTreatmentOutcomeDate
10 2019-08-15

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