FDA Adverse Event Malfunction Summary report: N

MED-CHECKS STEAM INTEGRATOR

MDR report key: 16453995 · Received February 27, 2023

Report

Report Number
MW5115283
Event Type
Malfunction
Date Received
February 27, 2023
Date of Event
February 22, 2023
Report Date
February 23, 2023
Manufacturer
MEDLINE INDUSTRIES, LP - NORTHFIELD
Product Code
JOJ
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
VA, US
Reporter Occupation
UNKNOWN
Health Professional
*

Narratives

Description of Event or Problem · 0

MED-CHECKS STEAM INTEGRATOR BY MEDLINE. OBSERVED HAIR EMBEDDED IN LAMINATE ON BACK OF INTEGRATOR. LOT#221001. OBSERVED DELAMINATION ON INTEGRATOR. LOT #221001.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1946884 MED-CHECKS STEAM INTEGRATOR INDICATOR, PHYSICAL/CHEMICAL STERILIZATION PROCESS JOJ MEDLINE INDUSTRIES, LP - NORTHFIELD MDS200600 221001

Patients

Seq Age Sex Outcome Treatment
1 Unknown