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MAUDE Adverse Event Report: COBAN ; BANDAGE, ELASTIC
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COBAN ; BANDAGE, ELASTIC
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Catalog Number
CAH45LFS
Device Problem
Material Integrity Problem (2978)
Patient Problem
No Known Impact Or Consequence To Patient (2692)
Event Date
07/03/2019
Event Type
malfunction
Event Description
Roll of coban 4 x 5 yards that tears so easily that they cannot use it.Lot lf180924-sh, cat #cah45lfs.
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Brand Name
COBAN
Type of Device
BANDAGE, ELASTIC
MDR Report Key
8795248
MDR Text Key
151569875
Report Number
MW5088187
Device Sequence Number
1
Product Code
FQM
Combination Product (y/n)
N
Reporter Country Code
US
Number of Events Reported
1
Summary Report (Y/N)
N
Report Source
Voluntary
Reporter Occupation
Risk Manager
Type of Report
Initial
Report Date
07/03/2019
1
Device was Involved in the Event
1
Patient was Involved in the Event
Date FDA Received
07/15/2019
Is this an Adverse Event Report?
No
Is this a Product Problem Report?
Yes
Device Operator
No Information
Device Catalogue Number
CAH45LFS
Device Lot Number
LF180924-SH
Was Device Available for Evaluation?
Device Returned to Manufacturer
Date Returned to Manufacturer
07/03/2019
Is the Reporter a Health Professional?
Yes
Was Device Evaluated by Manufacturer?
No Information
Is This a Reprocessed and Reused Single-Use Device?
No
Type of Device Usage
N
Patient Sequence Number
1
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