FDA Adverse Event
Summary report: N
EP IMPLANT TRAY
MDR report key: 4093809
·
Received September 11, 2014
Report
- Report Number
- 4093809
- Date Received
- September 11, 2014
- Date of Event
- August 27, 2014
- Report Date
- September 11, 2014
- Manufacturer
- MEDICAL ACTION INDUSTRIES, INC.
- Product Code
- FSM
- Report Source
- User Facility report
- Reporter Location
- FL, US
Narratives
Description of Event or Problem · 1
THE IMPLANT TRAY WAS MISSING THE SUCTION TUBING AND CAUTERY PEN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 563251 | EP IMPLANT TRAY | TRAY, SURGICAL | FSM | MEDICAL ACTION INDUSTRIES, INC. | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |