UF-1000I WITH URINALYSIS WAM 10379707

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 2013-04-11 for UF-1000I WITH URINALYSIS WAM 10379707 manufactured by Sysmex.

Event Text Entries

[21982616] Customer reported that a bacteria result of 1+ was reported as ns (not seen). Customer reported that they confirmed all results by microscopy. There was no report of injury for this event.
Patient Sequence No: 1, Text Type: D, B5


[22336759] The cause for the discordant bacteria results was due to a miss-configured rule. This has been corrected and the system is operating as intended.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1217157-2013-00056
MDR Report Key3071034
Report Source07
Date Received2013-04-11
Date of Report2013-03-26
Date of Event2013-03-26
Date Mfgr Received2013-03-26
Date Added to Maude2013-04-30
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactSTEVE ANDBERG
Manufacturer Street2 EDGEWATER DR.
Manufacturer CityNORWOOD MA 02062
Manufacturer CountryUS
Manufacturer Postal02062
Manufacturer Phone7812693655
Manufacturer G1SYSMEX
Manufacturer Street577 APTAKISIC ROAD
Manufacturer CityLINCOLNSHIRE IL 60069
Manufacturer CountryUS
Manufacturer Postal Code60069
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUF-1000I WITH URINALYSIS WAM
Generic NameUF-1000I
Product CodeLKM
Date Received2013-04-11
Catalog Number10379707
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSYSMEX
Manufacturer Address577 APTAKISIC ROAD LINCOLNSHIRE IL US


Patients

Patient NumberTreatmentOutcomeDate
10 2013-04-11

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