BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    STERILE TABLE COVER FROM SHOULDER ARTHROSCOPY PACK

    MDR report key: 11789897 · Received May 6, 2021

    Report

    Report Number
    MW5101219
    Event Type
    Malfunction
    Date Received
    May 6, 2021
    Date of Event
    April 27, 2021
    Report Date
    May 4, 2021
    Manufacturer
    MEDLINE INDUSTRIES, INC.
    Product Code
    OJH
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IN, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    CUT IN STERILE TABLE COVER. FDA SAFETY REPORT ID# (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    683366 STERILE TABLE COVER FROM SHOULDER ARTHROSCOPY PACK ORTHOPEDIC TRAY OJH MEDLINE INDUSTRIES, INC. 20HB0550

    Patients

    Seq Age Sex Outcome Treatment
    1