MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2020-03-19 for TOWEL OR 17X24IN GREEN STERILE 4/PK 28200-004 manufactured by Cardinal Health Shanghai.
| Report Number | 1423537-2020-00438 |
| MDR Report Key | 9857934 |
| Report Source | COMPANY REPRESENTATIVE,HEALTH |
| Date Received | 2020-03-19 |
| Date of Report | 2020-03-19 |
| Date of Event | 2020-01-23 |
| Date Facility Aware | 2020-02-19 |
| Date Mfgr Received | 2020-02-19 |
| Date Added to Maude | 2020-03-19 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| 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 |
| Manufacturer Contact | PATRICIA TUCKER |
| Manufacturer Street | 3651 BIRCHWOOD DR. |
| Manufacturer City | WAUKEGAN IL 60085 |
| Manufacturer Country | US |
| Manufacturer Postal | 60085 |
| Manufacturer Phone | 8478874152 |
| Manufacturer G1 | CARDINAL HEALTH SHANGHAI |
| Manufacturer Street | F20, TOWER 1, KERRY EVERBRIGHT |
| Manufacturer City | SHANGHAI 200070 |
| Manufacturer Country | CH |
| Manufacturer Postal Code | 200070 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | TOWEL OR 17X24IN GREEN STERILE 4/PK |
| Generic Name | GENERAL SURGERY TRAY (KIT) |
| Product Code | LRO |
| Date Received | 2020-03-19 |
| Model Number | 28200-004 |
| Catalog Number | 28200-004 |
| Lot Number | 190924-04-SH |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | CARDINAL HEALTH SHANGHAI |
| Manufacturer Address | F20, TOWER 1, KERRY EVERBRIGHT SHANGHAI 200070 CH 200070 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2020-03-19 |