NEWBORN SCREENING BLOOD-SPOT COLLECTION DEVICE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-09-29 for NEWBORN SCREENING BLOOD-SPOT COLLECTION DEVICE manufactured by Ge Healthcare.

Event Text Entries

[1376173] Since (b)(6) 2010, the laboratories administration of the (b)(6) state dept of health and mental hygiene has identified approximately 170 newborn screening test results for biotinidase deficiency with no biotinidase activity. There is a possibility that these results are associated with lot w092 of newborn screening blood-spot filter paper forms -specimen collection devices- mfg by ge healthcare. Dates of use: (b)(6) 2010 -- (b)(6) 2010. Diagnosis or reason for use: screening newborns for hereditary disorders.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5017623
MDR Report Key1852869
Date Received2010-09-29
Date of Report2010-09-29
Date of Event2010-09-22
Date Added to Maude2010-10-08
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Generic NameNEWBORN SCREENING BLOOD-SPOT COLLECTION DEVICE
Product CodeNAK
Date Received2010-09-29
Lot NumberW092
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerGE HEALTHCARE
Manufacturer Address14 WALKUP DR WESTBOROUGH MA 01581101 US 01581 1019


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2010-09-29

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