MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 1999-11-02 for manufactured by .
[183714]
The customer reported, while using a hand held intermec barcode wand, read a sample barcode as "(#@&*$! #&", sample barcode also had last digit truncated. Original sample barcode is not known. No death or serious injury was associated with this event.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2250051-1999-00158 |
| MDR Report Key | 248599 |
| Report Source | 05 |
| Date Received | 1999-11-02 |
| Date of Event | 1999-09-20 |
| Date Mfgr Received | 1999-09-20 |
| Date Added to Maude | 1999-11-08 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 0 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 0 |
| Initial Report to FDA | 0 |
| Report to FDA | 0 |
| Event Location | 0 |
| Manufacturer Contact | CINDY ADEN |
| Manufacturer Street | 1001 US HWY 202 |
| Manufacturer City | RARITAN NJ 08869 |
| Manufacturer Country | US |
| Manufacturer Postal | 08869 |
| Manufacturer Phone | 9082188761 |
| Manufacturer G1 | * |
| Manufacturer Street | * |
| Manufacturer City | * |
| Manufacturer Country | * |
| Single Use | 3 |
| Remedial Action | OT |
| Previous Use Code | 3 |
| Removal Correction Number | NA |
| Event Type | 3 |
| Type of Report | 3 |
| Product Code | LRH |
| Date Received | 1999-11-02 |
| Device Eval'ed by Mfgr | N |
| Implant Flag | N |
| Device Sequence No | 1 |
| Device Event Key | 240834 |
| Baseline Brand Name | ORTHO ELISA BAR CODE READER II |
| Baseline Generic Name | BAR CODE READER |
| Baseline Model No | 9720C01,D01,301 |
| Baseline Catalog No | 935240 |
| Baseline ID | NA |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1999-11-02 |