RAPIDCOMM 10379871

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 2014-02-06 for RAPIDCOMM 10379871 manufactured by Simens Healthcare Diagnostics.

Event Text Entries

[4209440] Customer reported that they scanned incorrect patient barcode and sample was run and transferred to lis (data management system). There was no report of injury due to this event.
Patient Sequence No: 1, Text Type: D, B5


[11687583] The event has occurred due to an operator error. Customer indicated that the mistake was corrected quickly and there was no report of incorrect treatment. Instrument and data management system is performing as intended.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1217157-2014-00008
MDR Report Key3628051
Report Source07
Date Received2014-02-06
Date of Report2014-01-10
Date of Event2014-01-09
Date Mfgr Received2014-01-10
Date Added to Maude2014-03-28
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 G1SIMENS HEALTHCARE DIAGNOSTICS APC
Manufacturer Street800 TRADEPORT BLVD.
Manufacturer CityATLANTA GA 30354
Manufacturer CountryUS
Manufacturer Postal Code30354
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameRAPIDCOMM
Generic NameRAPIDCOMM
Product CodeLMD
Date Received2014-02-06
Catalog Number10379871
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSIMENS HEALTHCARE DIAGNOSTICS
Manufacturer Address511 BENEDICT AVE. TARRYTOWN NY US


Patients

Patient NumberTreatmentOutcomeDate
10 2014-02-06

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