MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-10-30 for COMFORT GLIDE LT MSC600LT MSC60011 manufactured by Medline Industries Inc.
Report Number | 9256903 |
MDR Report Key | 9256903 |
Date Received | 2019-10-30 |
Date of Report | 2019-10-10 |
Date of Event | 2019-05-20 |
Report Date | 2019-10-10 |
Date Reported to FDA | 2019-10-10 |
Date Reported to Mfgr | 2019-10-30 |
Date Added to Maude | 2019-10-30 |
Event Key | 0 |
Report Source Code | User Facility 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 | RISK MANAGER |
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 | 3 |
Brand Name | COMFORT GLIDE LT |
Generic Name | AIR MATTRESS FOR TRANSFER |
Product Code | IKY |
Date Received | 2019-10-30 |
Model Number | MSC600LT |
Catalog Number | MSC60011 |
Lot Number | 1088827768 |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Age | 1 DA |
Device Eval'ed by Mfgr | * |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | MEDLINE INDUSTRIES INC |
Manufacturer Address | THREE LAKES DRIVE NORTHFIELD IL 60093 US 60093 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Other | 2019-10-30 |