Brand Name | NURSE ASSIST 0.9 PERCENT USP SODIUM CHLORIDE INJECTION |
Type of Device | NORMAL SALINE FLUSH |
Manufacturer (Section D) |
NURSE ASSIST, INC. |
haltom city TX |
|
MDR Report Key | 6113344 |
MDR Text Key | 60470453 |
Report Number | MW5066143 |
Device Sequence Number | 1 |
Product Code |
NGT
|
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Pharmacist
|
Type of Report
| Initial |
Report Date |
10/05/2016 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 11/17/2016 |
Is this an Adverse Event Report? |
Yes
|
Device Operator |
Health Professional
|
Device Expiration Date | 08/31/2017 |
Device Lot Number | 1607418 |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Hospitalization;
|
|
|