VIDAS W1020

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01 report with the FDA on 2001-05-24 for VIDAS W1020 manufactured by Biomerieux, Inc..

Event Text Entries

[222850] During a scheduled preventative maintenance check at the account the field service engineer performed a standard diagnostic check (qct check) and the instrument failed the test. The pump was replaced and it was determined that the pump had a clogged pump tube in position c1. Test results for the period of 3/2/2001-05/10/2001 are being evaluated to determine if pt results are affected.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1950204-2001-00007
MDR Report Key335469
Report Source01
Date Received2001-05-24
Date of Report2001-05-21
Date of Event2001-05-11
Date Mfgr Received2001-05-11
Device Manufacturer Date1991-08-01
Date Added to Maude2001-06-04
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Manufacturer ContactSANDRA PERREAND
Manufacturer Street595 ANGLUM DRIVE
Manufacturer CityHAZELWOOD MO 63042
Manufacturer CountryUS
Manufacturer Postal63042
Manufacturer Phone3147318594
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Remedial ActionRP
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameVIDAS
Generic NameIMMUNOFLUROMETER EQUIPMENT
Product CodeJZT
Date Received2001-05-24
Model NumberNA
Catalog NumberW1020
Lot NumberNA
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key324816
ManufacturerBIOMERIEUX, INC.
Manufacturer Address595 ANGLUM DRIVE HAZELWOOD MO 63042 US
Baseline Brand NameVIDAS
Baseline Generic NameIMMUNOFLUROMETER EQUIPMENT
Baseline Model NoNA
Baseline Catalog NoW1020
Baseline IDNA


Patients

Patient NumberTreatmentOutcomeDate
10 2001-05-24

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