MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-11-14 for TAMPER-EVIDENT ORAL TIP CAP H93852300 manufactured by Baxter Healthcare Corporation.
| Report Number | 9320591 |
| MDR Report Key | 9320591 |
| Date Received | 2019-11-14 |
| Date of Report | 2019-11-12 |
| Date of Event | 2019-10-01 |
| Report Date | 2019-11-12 |
| Date Reported to FDA | 2019-11-12 |
| Date Reported to Mfgr | 2019-11-14 |
| Date Added to Maude | 2019-11-14 |
| 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 |
| 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 | TAMPER-EVIDENT ORAL TIP CAP |
| Generic Name | DISPENSER, LIQUID MEDICATION |
| Product Code | KYX |
| Date Received | 2019-11-14 |
| Catalog Number | H93852300 |
| Lot Number | 29429 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | BAXTER HEALTHCARE CORPORATION |
| Manufacturer Address | 25212 W. ILLINOIS ROUTE 120 ROUND LAKE IL 60073 US 60073 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-11-14 |