MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01 report with the FDA on 2001-09-13 for VIDAS VIDAS 30 W2010 manufactured by Biomerieux, Inc..
[18192667]
Customer overseas called to complain about a incorrect pt result. Field svc examined the instrument and determined that the pump needed to be replaced. The pump was returned to co's overseas headquarters as being possibly clogged. Co's engineers confirmed that the pump was clogged.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1950204-2001-00013 |
| MDR Report Key | 351846 |
| Report Source | 01 |
| Date Received | 2001-09-13 |
| Date of Report | 2001-09-13 |
| Date of Event | 2001-07-23 |
| Date Mfgr Received | 2001-07-23 |
| Device Manufacturer Date | 1991-09-01 |
| Date Added to Maude | 2001-09-19 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 0 |
| Manufacturer Contact | SANDRA PERREAND |
| Manufacturer Street | 595 ANGLUM DRIVE |
| Manufacturer City | HAZELWOOD MO 63042 |
| Manufacturer Country | US |
| Manufacturer Postal | 63042 |
| Manufacturer Phone | 3147318594 |
| Manufacturer G1 | * |
| Manufacturer Street | * |
| Manufacturer City | * |
| Manufacturer Country | * |
| Single Use | 3 |
| Remedial Action | NO |
| Previous Use Code | 3 |
| Removal Correction Number | NA |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | VIDAS |
| Generic Name | IMMUNOFLUROMETRIC EQUIPMENT |
| Product Code | JZT |
| Date Received | 2001-09-13 |
| Model Number | VIDAS 30 |
| Catalog Number | W2010 |
| Lot Number | NA |
| ID Number | NA |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | Y |
| Implant Flag | N |
| Date Removed | A |
| Device Sequence No | 1 |
| Device Event Key | 341127 |
| Manufacturer | BIOMERIEUX, INC. |
| Manufacturer Address | 595 ANGLUM DR. HAZELWOOD MO 63042 US |
| Baseline Brand Name | VIDAS |
| Baseline Generic Name | IMMUNOFLUOROMETER EQUIPMENT |
| Baseline Model No | VIDAS 30 |
| Baseline Catalog No | W2010 |
| Baseline ID | NA |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2001-09-13 |