MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2011-07-21 for REAGENT RED BLOOD CELLS BIOTESTCELL 3 816085100 manufactured by Bio-rad Medical Diagnostics Gmbh.
[20792623]
The customer complained that pt samples yielded a false (b)(6) reaction with biotestcell 3 in the tube technique. We received the affected sample and the allegedly defective lot of biotestcell 3. The sample was retested with complaint sample and retention sample of biotestcell 3 in tube technique in our quality control lab. The pt sample displayed a (b)(6) reaction in the indirect anti-human globulin test (iat). The sample was also tested in the gel method and reacted (b)(6). Furthermore the sample was tested with the complaint sample of biotestcell 3 in the enzyme method and reacted (b)(6) with the affected (b)(6) screening cell. The correct function of the affected lot biotestcell 3 was confirmed by testing two different anti-e from an interlaboratory comparison testing. Both antibodies reacted correctly (b)(6).
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 9610824-2011-00092 |
| MDR Report Key | 2219034 |
| Report Source | 05 |
| Date Received | 2011-07-21 |
| Date of Report | 2011-07-21 |
| Date of Event | 2011-06-27 |
| Date Mfgr Received | 2011-06-27 |
| 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 MARK GORZELLIK, HEAD |
| Manufacturer Street | LANDSTEINERSTR. 5 |
| 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 3 |
| Generic Name | BIOTESTCELL 3 |
| Product Code | LKJ |
| Date Received | 2011-07-21 |
| Returned To Mfg | 2011-07-12 |
| Catalog Number | 816085100 |
| Lot Number | 8119011 |
| Device Expiration Date | 2011-06-28 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | DA |
| Device Eval'ed by Mfgr | Y |
| 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 | 2011-07-21 |