Brand Name | PLASTIC MAJOR PACK |
Type of Device | GENERAL SURGERY TRAY |
Manufacturer (Section D) |
MEDLINE INDUSTRIES, INC. |
northfield IL 60093 |
|
MDR Report Key | 9472939 |
MDR Text Key | 171553157 |
Report Number | MW5091674 |
Device Sequence Number | 1 |
Product Code |
LRO
|
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Nurse
|
Type of Report
| Initial |
Report Date |
12/12/2019 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 12/13/2019 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Expiration Date | 01/31/2021 |
Device Model Number | DYNJ49360 |
Device Catalogue Number | DYNJ49360 |
Device Lot Number | 19EBV699 |
Was Device Available for Evaluation? |
Yes
|
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 |
|
|