MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2002-12-20 for ORTHO HCV 3.0 TEST KIT 930750 manufactured by Ortho-clinical Diagnostics.
[285511]
The customer reported that while using hcv test kit, a sample that reported as positive on other test, reported a negative result on the hcv test kit. No death or serious injury was associated with this incident.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2250051-2002-00705 |
| MDR Report Key | 435040 |
| Date Received | 2002-12-20 |
| Date of Report | 2002-12-11 |
| Date of Event | 2002-09-21 |
| Date Facility Aware | 2002-12-02 |
| Report Date | 2002-12-18 |
| Date Reported to Mfgr | 2002-12-02 |
| Date Added to Maude | 2003-01-02 |
| Event Key | 0 |
| Report Source Code | Distributor report |
| Manufacturer Link | N |
| 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 | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | ORTHO HCV 3.0 TEST KIT |
| Generic Name | ELISA TEST KIT |
| Product Code | LQI |
| Date Received | 2002-12-20 |
| Model Number | NA |
| Catalog Number | 930750 |
| Lot Number | TXE348 |
| ID Number | NA |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | NA |
| Implant Flag | N |
| Date Removed | A |
| Device Sequence No | 1 |
| Device Event Key | 423992 |
| Manufacturer | ORTHO-CLINICAL DIAGNOSTICS |
| Manufacturer Address | 1001 US HWY 202 RARITAN NJ 088690606 US |
| Baseline Brand Name | ORTHO HCV VERSION 3.0 ELISA TEST SYSTEM |
| Baseline Generic Name | DIAGNOSTIC TEST KIT FOR ANTI-HCV |
| Baseline Model No | NA |
| Baseline Catalog No | 930750 |
| Baseline ID | POSITIVE CONTRO |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2002-12-20 |