BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    UNK

    MDR report key: 7316850 · Received March 5, 2018

    Report

    Report Number
    MW5075685
    Event Type
    Malfunction
    Date Received
    March 5, 2018
    Report Date
    March 1, 2018
    Manufacturer
    MEDLINE INDUSTRIES
    Product Code
    PXV
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    UPON TURNING ON ROOM LIGHTS A LARGE BLUE PIECE OF LINT WAS ON THE MD'S HAND. THEN A PIECE OF LINT WAS WIPED OFF A CORONARY INTERVENTIONAL WIRE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    155508 UNK GENERAL SURGERY TRAY PXV MEDLINE INDUSTRIES DYNJ49372A 17LB1920

    Patients

    Seq Age Sex Outcome Treatment
    1