TISSUE-TEK UNI CASSETTE 4119-01

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 08 report with the FDA on 2010-04-14 for TISSUE-TEK UNI CASSETTE 4119-01 manufactured by Sakura Finetek Usa, Inc..

Event Text Entries

[16734012] Anatomic pathology tissue cassette lid closed incompletely or loosened during tissue processing. The defective cassettes were not detected immediately through the normal quality control procedures.
Patient Sequence No: 1, Text Type: D, B5


[16931748] Review and evaluate processing and quality control procedures of the cassette manufacturer to ensure adequate quality control levels for in-process inspection of cassettes.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2083544-2010-00002
MDR Report Key1668370
Report Source08
Date Received2010-04-14
Date of Report2010-03-24
Date of Event2010-02-26
Device Manufacturer Date2009-06-01
Date Added to Maude2010-12-23
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer Street1750 WEST 214TH STREET
Manufacturer CityTORRANCE CA 90501
Manufacturer CountryUS
Manufacturer Postal90501
Manufacturer Phone8009727800
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameTISSUE-TEK UNI CASSETTE
Generic NameUNI-CASSETTE
Product CodeIDZ
Date Received2010-04-14
Catalog Number4119-01
Lot Number433673
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSAKURA FINETEK USA, INC.
Manufacturer AddressTORRANCE CA 90501 US 90501


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2010-04-14

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