BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MEDLINE INDUSTRIES, INC.

    MDR report key: 19709996 · Received July 10, 2024

    Report

    Report Number
    19709996
    Event Type
    Malfunction
    Date Received
    July 10, 2024
    Date of Event
    April 1, 2024
    Report Date
    April 17, 2024
    Manufacturer
    MEDLINE INDUSTRIES, INC.
    Product Code
    LRO
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    UT
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    PREMIUM DRY TRAY - HAIR IN STERILE PACKAGING WHEN OPENED BY REGISTERED NURSE (RN). MANUFACTURER RESPONSE FOR GENERAL SURGERY TRAY, MEDLINE INDUSTRIES, INC. (PER SITE REPORTER). MEDLINE SENT SHIPPING LABEL TO RETURN THE PRODUCT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    447498 MEDLINE INDUSTRIES, INC. GENERAL SURGERY TRAY LRO MEDLINE INDUSTRIES, INC. DYND70661 11023090358

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown