MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 1998-07-08 for THINPREP 2000 SYSTEM PRESERVCYT 50 PACK 0234005 manufactured by Cytyc Corp..
[20244075]
A physician (allergist) reported that he was contacted by a pt that was compalining of headaches. Upon the physician's investigation into possible causes, the pt informed the physician that she worked in a lab and seems to get these headaches when exposed to preservcyt.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 1222780-1998-00002 |
MDR Report Key | 176217 |
Report Source | 05 |
Date Received | 1998-07-08 |
Date of Report | 1998-07-01 |
Date of Event | 1998-06-10 |
Date Reported to FDA | 1998-07-01 |
Date Mfgr Received | 1998-06-10 |
Date Added to Maude | 1998-07-13 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 0 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Single Use | 3 |
Previous Use Code | 3 |
Removal Correction Number | NA |
Event Type | 3 |
Type of Report | 3 |
Brand Name | THINPREP 2000 SYSTEM PRESERVCYT 50 PACK |
Generic Name | CYTOLOGY SLIDE PREPARATION DEVICE |
Product Code | KEW |
Date Received | 1998-07-08 |
Model Number | 0234005 |
Catalog Number | 0234005 |
Lot Number | NI |
ID Number | NA |
Operator | NO INFORMATION |
Device Availability | N |
Device Age | NA |
Device Eval'ed by Mfgr | R |
Implant Flag | N |
Date Removed | A |
Device Sequence No | 1 |
Device Event Key | 171332 |
Manufacturer | CYTYC CORP. |
Manufacturer Address | 85 SWANSON RD. BOXBOROUGH MA 01719 US |
Baseline Brand Name | THINPREP 2000 SYSTEM PRESERVCYT 50 PACK |
Baseline Generic Name | CYTOLOGY SLIDE PREPARATION DEVICE |
Baseline Model No | 0234005 |
Baseline Catalog No | 0234005 |
Baseline ID | NA |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Other | 1998-07-08 |