MTS INCUBATOR MTS9680

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2009-07-17 for MTS INCUBATOR MTS9680 manufactured by Micro Typing Systems, Inc..

Event Text Entries

[19945072] Customer discarded the cards that were in the incubator when issue was observed. Investigation conducted regarding the returned mts incubator. The incubator temperature is within specified range. The customer's concern was not confirmed. The customer received a replacement incubator to resolve the issue. (b) (4)
Patient Sequence No: 1, Text Type: N, H10


[19964657] The customer reported that the temperature of the mts incubator was out of specification. No erroneous results were reported. A temperature out of specification, if undetected during testing may lead to erroneous test results and may lead to the transfusion of incompatible blood.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1056600-2009-00150
MDR Report Key1481853
Report Source05,06
Date Received2009-07-17
Date of Report2009-07-17
Date of Event2009-06-25
Date Mfgr Received2009-06-25
Device Manufacturer Date2008-08-01
Date Added to Maude2010-06-08
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationUNKNOWN
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactJENNIFER SPARROW
Manufacturer Street1001 US ROUTE 202
Manufacturer CityRARITAN NJ 08869
Manufacturer CountryUS
Manufacturer Postal08869
Manufacturer Phone9087043872
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMTS INCUBATOR
Generic NameMTS GEL CARD INCUBATOR
Product CodeJTQ
Date Received2009-07-17
Returned To Mfg2009-07-02
Model NumberNA
Catalog NumberMTS9680
Lot NumberNA
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerMICRO TYPING SYSTEMS, INC.
Manufacturer Address1295 S.W. 29TH AVE. POMPANO BEACH FL 33069 US 33069


Patients

Patient NumberTreatmentOutcomeDate
10 2009-07-17

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