ACTH, CHEMILUMINISCENCE KIT 60-4175

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2006-10-24 for ACTH, CHEMILUMINISCENCE KIT 60-4175 manufactured by Nichols Institute Diagnostics.

Event Text Entries

[1069697] The clinic reported that 6 patients received dex treatment to suppress acth values following laboratory test results showing high acth values inb these patients. Subsequent irma acth tests on the same samples from the patients showed normal acth values.
Patient Sequence No: 1, Text Type: D, B5


[8224057] This report is based on info found during a review of nid files. Nid has ceased manufacturing operations and no longer markets this product. The product labeling states: "like any analyte used as a diagnostic adjunct, acth results must be interpreted carefully with the overall clinical presentations and other supportive diagnostic tests. "
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2050095-2006-00004
MDR Report Key1357875
Report Source05
Date Received2006-10-24
Date of Report2002-02-01
Date of Event2002-02-01
Date Mfgr Received2002-02-01
Date Added to Maude2009-10-14
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Manufacturer ContactANIL BHALANI, DIRECTOR
Manufacturer Street1311 CALLE BATIDO
Manufacturer CitySAN CLEMENTE CA 92673
Manufacturer CountryUS
Manufacturer Postal92673
Manufacturer Phone9499409465
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameACTH, CHEMILUMINISCENCE KIT
Generic NameACTH ANALYSIS PRODUCT
Product CodeCKG
Date Received2006-10-24
Catalog Number60-4175
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerNICHOLS INSTITUTE DIAGNOSTICS
Manufacturer Address1311 CALLE BATIDO SAN CLEMENTE CA 92673 US 92673


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2006-10-24

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