MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2011-08-03 for REAGENT RED BLOOD CELLS BIOTESTCELL III 816021 manufactured by Bio-rad Medical Diagnostics Gmbh.
[2187760]
The customer complained a false (b)(6) reaction with cell 9 of biotestcell-iii. We received neither the complained lot of biotestcell-iii nor the affected sample of customer. When we received the complaint the reagent red blood cells were already expired. Therefore a testing of retention sample was not possible. At final serological control biotestcell-iii was tested with different controls. All positive and negative reactions were correct. We didn't observe any false (b)(6) reactions. Summary: the testing quality control lab had confirmed the correct function of the complained lot of biotestcell-iii. The review of the batch record documentation showed no irregularities which might have affected negatively the quality of the complained lot.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 9610824-2011-00102 |
MDR Report Key | 2209618 |
Report Source | 05 |
Date Received | 2011-08-03 |
Date of Report | 2011-08-04 |
Date of Event | 2011-07-07 |
Date Mfgr Received | 2011-07-07 |
Date Added to Maude | 2012-04-24 |
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 | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 0 |
Event Location | 0 |
Manufacturer Contact | DR MARC GORZELLIK |
Manufacturer Street | INDUSTRIESTRASSE 1 |
Manufacturer City | DREIEICH 63303 |
Manufacturer Country | GM |
Manufacturer Postal | 63303 |
Manufacturer Phone | 103801528 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | REAGENT RED BLOOD CELLS BIOTESTCELL III |
Generic Name | BIOTESTCELL III |
Product Code | LKJ |
Date Received | 2011-08-03 |
Model Number | 816021 |
Lot Number | 2121011 |
Device Expiration Date | 2011-07-12 |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Eval'ed by Mfgr | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | BIO-RAD MEDICAL DIAGNOSTICS GMBH |
Manufacturer Address | INDUSTRIESTRASSE 1 DREIEICH D-63303 GM D-63303 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2011-08-03 |