MIKRO 120 12040-01

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-03-23 for MIKRO 120 12040-01 manufactured by A. Hettich Gmbh & Co. Kg..

Event Text Entries

[1297486] The motor shaft of the centrifuge broke below the rotor, allowing the rotor to spin freely. In so doing, the rotor hit the inside of the centrifuge lid causing it to open. The fixed angle rotor came out of the centrifuge and landed on the lab bench where it stopped spinning. There were no injuries. (b) (4)
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5015330
MDR Report Key1648138
Date Received2010-03-23
Date of Report2010-03-23
Date of Event2009-12-16
Date Added to Maude2010-04-01
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameMIKRO 120
Generic NameMICRO CENTRIFUGE
Product CodeGHK
Date Received2010-03-23
Model Number12040-01
Device AvailabilityN
Device Sequence No1
Device Event Key0
ManufacturerA. HETTICH GMBH & CO. KG.
Manufacturer AddressTUTTLINGEN GM


Patients

Patient NumberTreatmentOutcomeDate
10 2010-03-23

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