SELECTIVE STREP THROAT CULTURE P 1640 *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1997-12-05 for SELECTIVE STREP THROAT CULTURE P 1640 * manufactured by Northeast Lab. Svcs..

Event Text Entries

[113440] Medium is too thin. When incubated at proper temperature it turns brown, won't support growth. Problem was reported to the mfr but firm was unconcerned.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1012615
MDR Report Key136823
Date Received1997-12-05
Date of Report1997-12-05
Date of Event1997-12-01
Date Added to Maude1997-12-10
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 NameSELECTIVE STREP THROAT CULTURE
Generic NameAGAR PLATE
Product CodeJSI
Date Received1997-12-05
Model NumberP 1640
Catalog Number*
Lot Number9146
ID Number*
Device Expiration Date1998-01-15
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key133657
ManufacturerNORTHEAST LAB. SVCS.
Manufacturer AddressCHINA RD. WINSLOW ME 04901 US


Patients

Patient NumberTreatmentOutcomeDate
10 1997-12-05

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