MILLEX GS * SLGSV255F

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1999-04-30 for MILLEX GS * SLGSV255F manufactured by Millipore Corp..

Event Text Entries

[22173631] Rptr works for a mfr that uses the filters in their processing of f18 fdg, which is used during positron emission tomography. The co's end product was determined as pyrogenic for a period of several months. After research and testing, the cause of the pyrogenic end product was determined to be filters from the reported lot number. The rptr states that the co informed all of their sites to stop using the filters from that lot. The rptr claims that the firm has used these filters in their mfg process for "some time", and this event has been isolated to the lot number in question. Since the rptr's product is tested thoroughly prior to distribution, all the products affected were not distributed for use. No pt involvement.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1016227
MDR Report Key221461
Date Received1999-04-30
Date of Report1999-04-30
Date Added to Maude1999-05-05
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameMILLEX GS
Generic NameMILLIPORE FILTER
Product CodeJRL
Date Received1999-04-30
Model Number*
Catalog NumberSLGSV255F
Lot NumberR8EM78710
ID Number*
OperatorNOT APPLICABLE
Device AvailabilityY
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key214754
ManufacturerMILLIPORE CORP.
Manufacturer Address80 ASHBY RD. BEDFORD MA 01730 US


Patients

Patient NumberTreatmentOutcomeDate
10 1999-04-30

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