IP BIOPSY CASSETTE II * 38440500

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2011-10-12 for IP BIOPSY CASSETTE II * 38440500 manufactured by Leica Biosystems.

Event Text Entries

[18509066] A tissue cassette was noted to have no tissue inside. A piece of the cassette was noted to be missing. All biopsy cassettes will be taken out of service and tissues cassettes with sponges will be used.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2306165
MDR Report Key2306165
Date Received2011-10-12
Date of Report2011-10-12
Date of Event2011-08-08
Report Date2011-10-12
Date Reported to FDA2011-10-12
Date Added to Maude2011-10-25
Event Key0
Report Source CodeUser Facility 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 FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameIP BIOPSY CASSETTE II
Generic NameBIOPSY CASSETTES
Product CodeKER
Date Received2011-10-12
Model Number*
Catalog Number38440500
Lot NumberM506TIP
ID Number*
Device AvailabilityN
Device Sequence No1
Device Event Key0
ManufacturerLEICA BIOSYSTEMS
Manufacturer Address5205 ROUTE 12 SOLON MILLS IL 60071 US 60071


Patients

Patient NumberTreatmentOutcomeDate
10 2011-10-12

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