BECKMAN IRIS STATSPIN M510 EXPRESS4

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-05-13 for BECKMAN IRIS STATSPIN M510 EXPRESS4 manufactured by Beckman Coulter.

Event Text Entries

[14874837] Beckman iris statspin model m510 express4 centrifuge's rotor shattered during operation on (b)(6) 2014. Two other events within (b)(6) healthcare happened with the same product; on (b)(6) 2014. Specimens lost, no operator injury reported. Complaint filed with mfr obtained ref. # (b)(4). Broken rotor to centrifuge while in operation. (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5036138
MDR Report Key3820383
Date Received2014-05-13
Date of Report2014-05-13
Date of Event2014-03-05
Date Added to Maude2014-05-21
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameBECKMAN IRIS STATSPIN
Generic NameBECKMAN IRIS STATSPIN
Product CodeGKG
Date Received2014-05-13
Model NumberM510 EXPRESS4
ID Number402874823, AC153108
OperatorHEALTH PROFESSIONAL
Device Sequence No1
Device Event Key0
ManufacturerBECKMAN COULTER


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2014-05-13

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