MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2002-06-18 for LIQUICHEK UNASSAYED CHEMISTRY CONTROL * 692 manufactured by Bio-rad Laboratories.
[289384]
A lab tech pricked their finger with a needle when they attempted to aspirate control material from the vial using a syringe.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2016706-2002-00002 |
| MDR Report Key | 400809 |
| Report Source | 05 |
| Date Received | 2002-06-18 |
| Date of Report | 2002-06-13 |
| Date Mfgr Received | 2002-06-07 |
| Device Manufacturer Date | 2001-05-01 |
| Date Added to Maude | 2002-06-24 |
| 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 | YVETTE LLOYD |
| Manufacturer Street | 9500 JERONIMO ROAD |
| Manufacturer City | IRVINE CA 92618 |
| Manufacturer Country | US |
| Manufacturer Postal | 92618 |
| Manufacturer Phone | 9495981465 |
| Manufacturer G1 | * |
| Manufacturer Street | * |
| Manufacturer City | * |
| Manufacturer Country | * |
| Single Use | 3 |
| Remedial Action | OT |
| Previous Use Code | 3 |
| Removal Correction Number | NA |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | LIQUICHEK UNASSAYED CHEMISTRY CONTROL |
| Generic Name | QUALITY CONTROL MATERIAL |
| Product Code | JJT |
| Date Received | 2002-06-18 |
| Model Number | * |
| Catalog Number | 692 |
| Lot Number | 16212 |
| ID Number | * |
| Device Expiration Date | 2003-04-01 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | R |
| Implant Flag | N |
| Date Removed | A |
| Device Sequence No | 1 |
| Device Event Key | 389859 |
| Manufacturer | BIO-RAD LABORATORIES |
| Manufacturer Address | 9500 JERONIMO RD IRVINE CA 926182017 US |
| Baseline Brand Name | LIQUICHEK UNASSAYED CHEMISTRY CONTROL |
| Baseline Generic Name | QUALITY CONTROL MATERIAL |
| Baseline Model No | * |
| Baseline Catalog No | 692 |
| Baseline ID | * |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2002-06-18 |