MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-11-05 for MEDLINE PRODUCT SOURCING FROM CARDINAL STERILE SPECIMEN COLLECTION CUP RG03SXS manufactured by Medline Industries.
| Report Number | MW5090899 |
| MDR Report Key | 9285905 |
| Date Received | 2019-11-05 |
| Date of Report | 2019-11-01 |
| Date of Event | 2019-11-01 |
| Date Added to Maude | 2019-11-06 |
| 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 |
| 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 | 0 |
| Brand Name | MEDLINE PRODUCT SOURCING FROM CARDINAL STERILE SPECIMEN COLLECTION CUP |
| Generic Name | CONTAINER, SPECIMEN, STERILE |
| Product Code | FMH |
| Date Received | 2019-11-05 |
| Model Number | RG03SXS |
| Lot Number | 03005-3TN |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | MEDLINE INDUSTRIES |
| Manufacturer Address | MUNDELEIN IL 60060 US 60060 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-11-05 |