BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MEDLINE INDUSTRIES, INC.

    MDR report key: 11715621 · Received April 23, 2021

    Report

    Report Number
    11715621
    Event Type
    Malfunction
    Date Received
    April 23, 2021
    Date of Event
    March 22, 2021
    Report Date
    April 14, 2021
    Manufacturer
    MEDLINE INDUSTRIES, INC.
    Product Code
    OHG
    UDI-DI
    10884389542040
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    AZ
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    SCISSORS, FROM MEDLINE CIRCUMCISION TRAY, REPORTED AS DULL PER PEDIATRICIAN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    616238 MEDLINE INDUSTRIES, INC. CIRCUMCISION TRAY OHG MEDLINE INDUSTRIES, INC. DYNDF1072A 21ABN726 10884389542040

    Patients

    Seq Age Sex Outcome Treatment
    1 0 DA