EBV IGM KIT EB150-E

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1996-08-07 for EBV IGM KIT EB150-E manufactured by Gull Laboratories, Inc..

Event Text Entries

[16279325] Serologic testing using epstein-barr virus igm kit has yielded apparent false positive results.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1009661
MDR Report Key35044
Date Received1996-08-07
Date of Report1996-08-05
Date of Event1996-06-01
Date Added to Maude1996-08-09
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameEBV IGM KIT
Generic NameDIAGNOSTIC REAGENT FOR EPSTEIN-BARR
Product CodeJRY
Date Received1996-08-07
Catalog NumberEB150-E
Lot Number6CLBXR
Device Expiration Date1997-07-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key36461
ManufacturerGULL LABORATORIES, INC.
Manufacturer Address1011 E 4800 SOUTH SALT LAKE CITY UT 84117 US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 1996-08-07

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