HOLOGIC

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-10-19 for HOLOGIC manufactured by Hologic.

Event Text Entries

[1667398] Cytology department noticed several afb positive cases on bronchial brush specimens. The department questioned the validity of the questionable results and validated against pt cultures. Suspected a contaminant in the hologic thin-prep vial. This was verified by preparing a "blank" vial and it rendered an "afb positive" result. Dates of use: (b)(4) 2010. Diagnosis or reason for use: test to rule out tb. Event abated after use stopped or dose reduced: yes. Event reappeared after reintroduction: no.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5017887
MDR Report Key1881999
Date Received2010-10-19
Date of Report2010-10-19
Date of Event2010-09-02
Date Added to Maude2010-11-19
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
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 NameHOLOGIC
Generic NameTHIN PREP VIAL
Product CodeLEA
Date Received2010-10-19
Lot Number04068V
Device Expiration Date2012-06-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerHOLOGIC
Manufacturer AddressFOXBOROUGH MA US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2010-10-19

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