Brand Name | DISINFECTANT, MEDICAL DEVICES |
Type of Device | DISINFECTANT, MEDICAL DEVICES |
Manufacturer (Section D) |
|
MDR Report Key | 11568695 |
MDR Text Key | 242519743 |
Report Number | MW5100262 |
Device Sequence Number | 1 |
Product Code |
LRJ
|
Combination Product (y/n) | Y |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Non-Healthcare Professional
|
Type of Report
| Initial |
Report Date |
03/24/2021 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
No Information
|
Is the Reporter a Health Professional? |
No
|
Initial Date Manufacturer Received |
Not provided |
Initial Date FDA Received | 03/24/2021 |
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
Patient Age | 73 YR |
Patient Weight | 85 |
|
|