Brand Name | PERI-WIPES |
Type of Device | PERI-WIPES |
MDR Report Key | 5640779 |
MDR Text Key | 44790861 |
Report Number | MW5062148 |
Device Sequence Number | 1 |
Product Code |
KOX
|
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 |
04/04/2016 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 05/06/2016 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Operator |
No Information
|
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
Patient Age | 60 YR |
Patient Weight | 50 |
|
|