DYNJ24923

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a user facility report with the FDA on 2020-02-17 for DYNJ24923 manufactured by Medline Industries Inc..

MAUDE Entry Details

Report Number1423395-2020-00003
MDR Report Key9717763
Report SourceUSER FACILITY
Date Received2020-02-17
Date of Report2020-02-17
Date of Event2020-01-01
Date Mfgr Received2020-01-28
Date Added to Maude2020-02-17
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactNIGEL VILCHES
Manufacturer StreetTHREE LAKES DRIVE
Manufacturer CityNORTHFIELD, IL
Manufacturer CountryUS
Manufacturer Phone9311458
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Generic NameGAUZE IN PACK,ORTHO
Product CodeOJH
Date Received2020-02-17
Catalog NumberDYNJ24923
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE INDUSTRIES INC.
Manufacturer AddressTHREE LAKES DRIVE NORTHFIELD, IL US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-02-17

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