MESA LABORATORIES 7.0 PH SOLUTION 02.0031 AND 02.0032

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2013-10-02 for MESA LABORATORIES 7.0 PH SOLUTION 02.0031 AND 02.0032 manufactured by Mesa Laboratories Inc.

Event Text Entries

[3880623] Rec'd notification of possible contamination of mesa laboratories 7. 0 ph solution on (b)(6) /2013. All inventory of this solution was removed by clinic mgr from clinical area and use of ph strips was instituted to check ph of dialysate in dialysis machines until further resolution to this issue.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3410542
MDR Report Key3410542
Date Received2013-10-02
Date of Report2013-09-30
Date of Event2013-09-20
Date Facility Aware2013-09-20
Report Date2013-09-30
Date Reported to FDA2013-10-01
Date Added to Maude2013-10-16
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameMESA LABORATORIES 7.0 PH SOLUTION
Generic NamePH METER CALIBRATION SOLUTION
Product CodeFKH
Date Received2013-10-02
Returned To Mfg2013-10-01
Catalog Number02.0031 AND 02.0032
Lot NumberML-P7-1148
Device Expiration Date2014-09-14
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Age2 MO
Device Sequence No1
Device Event Key0
ManufacturerMESA LABORATORIES INC
Manufacturer AddressLAKEWOOD CO US


Patients

Patient NumberTreatmentOutcomeDate
10 2013-10-02

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