Brand Name | MEDLINE INDUSTRIES, INC. |
Type of Device | GENERAL SURGERY TRAY |
Manufacturer (Section D) |
MEDLINE INDUSTRIES, INC. |
1160 s. northpoint blvd. |
waukegan IL 60085 |
|
MDR Report Key | 7973938 |
MDR Text Key | 124002720 |
Report Number | 7973938 |
Device Sequence Number | 1 |
Product Code |
LRO
|
Combination Product (y/n) | N |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
User Facility
|
Reporter Occupation |
Risk Manager
|
Type of Report
| Initial |
Report Date |
09/30/2018 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Model Number | DYNJ32670C |
Device Catalogue Number | DYNJ32670C |
Device Lot Number | 17IK2511 |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
No
|
Was the Report Sent to FDA? |
Yes
|
Date Report Sent to FDA | 09/30/2018 |
Event Location |
Hospital
|
Date Report to Manufacturer | 10/17/2018 |
Initial Date Manufacturer Received |
Not provided |
Initial Date FDA Received | 10/17/2018 |
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
|
|