MAUDE Adverse Event Report: XENEX Disinfection Services Inc.

Device Problem Device Operational Issue (2914)

Event Type  Other  

• Manufacturer (Section G): XENEX Disinfection Services Inc.; 1074 arion circle, suite 116; san antonio TX 78216
• Manufacturer Contact: juan gonzalez ; 1074 arion circle, suite 116; san antonio, TX 78216
• MDR Report Key: 18385824
• Report Number: COR23000259-000
• Device Sequence Number: 1
• Product Code: MKB
• Reporter Country Code: US
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Reporter Occupation: Other
• Type of Report: Initial
• Report Date: 12/21/2023

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 12/22/2023
• Is this a Product Problem Report?: No
• Device Operator: Other
• Was Device Available for Evaluation?: No Information
• Patient Sequence Number: 1
• Patient Outcome(s): Other