3M? CUROS JET? DISINFECTING CAP FOR NEEDLELESS CONNECTORS N/A CFJ5-250

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,user f report with the FDA on 2019-10-14 for 3M? CUROS JET? DISINFECTING CAP FOR NEEDLELESS CONNECTORS N/A CFJ5-250 manufactured by 3m Health Care.

MAUDE Entry Details

Report Number2110898-2019-00118
MDR Report Key9185865
Report SourceCOMPANY REPRESENTATIVE,USER F
Date Received2019-10-14
Date of Report2019-10-14
Date of Event2019-09-25
Date Mfgr Received2019-09-25
Device Manufacturer Date2019-07-26
Date Added to Maude2019-10-14
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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
Manufacturer ContactDIANNE GIBBS
Manufacturer StreetBUILDING 275 5W 06
Manufacturer CityST. PAUL MN 55144
Manufacturer CountryUS
Manufacturer Postal55144
Manufacturer Phone6517379117
Manufacturer G13M COMPANY 3M COLUMBIA
Manufacturer Street5400 PARIS ROAD
Manufacturer CityCOLUMBIA MO 65202
Manufacturer CountryUS
Manufacturer Postal Code65202
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand Name3M? CUROS JET? DISINFECTING CAP FOR NEEDLELESS CONNECTORS
Generic NameCUROS JET DISINFECTING CAP
Product CodeLKB
Date Received2019-10-14
Model NumberN/A
Catalog NumberCFJ5-250
Lot Number6532163
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
Manufacturer3M HEALTH CARE
Manufacturer Address2510 CONWAY AVE ST. PAUL MN 55144 US 55144


Patients

Patient NumberTreatmentOutcomeDate
10 2019-10-14

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