NATURAL IMAGE ULTRASOUND SCANNING GEL

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1994-02-22 for NATURAL IMAGE ULTRASOUND SCANNING GEL manufactured by Accupac, Inc..

Event Text Entries

[8807] Reported info uncovered during a civil trial on 5/12/93 where mfr testified under oath that they were in violation of fda gmp in having "lost" and not replaced from their customer complaint file reports of mold contamination of medical diagnostic ultrasound scanning gels which mfr had mfg for another co. Mfr also testified under oath to not having notified the fda of the missing documents during fda inspections of facility, to having "lost" lab records of the contaminated product, and to having "lost" the actual sample of the contaminated product supplied to mfr by the co that gel is mfg for. When they opened the 40 gallon fiber drums of the ultrasound scanning gel, the surface was covered with mold. Approx 10 to 20% of the 800 8 oz plastic bottles of product had mold at the top. Product was immediately quarantined.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW4000306
MDR Report Key11676
Date Received1994-02-22
Date of Report1993-06-03
Date Added to Maude1994-02-23
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameNATURAL IMAGE ULTRASOUND SCANNING GEL
Product CodeKNG
Date Received1994-02-22
Device Availability*
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key11676
ManufacturerACCUPAC, INC.
Manufacturer AddressMAINLAND PA 19451 US


Patients

Patient NumberTreatmentOutcomeDate
10 1994-02-22

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