FDA Adverse Event
Malfunction
Summary report: N
VISCOT
MDR report key: 17912793
·
Received October 11, 2023
Report
- Report Number
- 3014527682-2023-00015
- Event Type
- Malfunction
- Date Received
- October 11, 2023
- Date of Event
- September 22, 2023
- Report Date
- October 11, 2023
- Manufacturer
- VISCOT MEDICAL LLC
- Product Code
- FTY
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
RULER DISINTEGRATED IN THE PATIENT WOUND.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1767776 | VISCOT | MARKER, LABEL, RULER SET | FTY | VISCOT MEDICAL LLC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |