MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-11-20 for 12 FR WHISTLE TIP SUCTION CATHETER KIT - D409 SERIES DYND40971 100100 manufactured by Medline Industries Inc..
| Report Number | MW5091218 |
| MDR Report Key | 9354168 |
| Date Received | 2019-11-20 |
| Date of Report | 2019-11-11 |
| Date of Event | 2019-10-21 |
| Date Added to Maude | 2019-11-21 |
| 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 | 12 FR WHISTLE TIP SUCTION CATHETER KIT - D409 SERIES |
| Generic Name | CATHETER AND TIP, SUCTION |
| Product Code | JOL |
| Date Received | 2019-11-20 |
| Model Number | DYND40971 |
| Catalog Number | 100100 |
| Lot Number | 48619060001 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | R |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | MEDLINE INDUSTRIES INC. |
| Manufacturer Address | MUNDELEIN IL 60060 US 60060 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-11-20 |