STATSPIN MP X00-004998-001

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 2015-01-29 for STATSPIN MP X00-004998-001 manufactured by Iris Intl.

Event Text Entries

[5351711] Customer reported smoke from the unit.
Patient Sequence No: 1, Text Type: D, B5


[12805687] The customer reported a burned lid latch solenoid on their statspin mp. There were no reports of exposure to the operator, impact to pt samples, smoke, or fires. The fire dept was not called. The unit is being returned to beckman coulter for further analysis.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2023446-2015-00009
MDR Report Key4483462
Report Source07
Date Received2015-01-29
Date of Report2015-01-06
Date of Event2015-01-06
Date Mfgr Received2015-01-06
Device Manufacturer Date2013-02-01
Date Added to Maude2015-03-04
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 ContactSUDHA GUPTA
Manufacturer Street9172 ETON AVE.
Manufacturer CityCHATSWORTH CA 91311
Manufacturer CountryUS
Manufacturer Postal91311
Manufacturer Phone8185277272
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSTATSPIN MP
Generic NameSTATSPIN CENTRIFUGE
Product CodeGKG
Date Received2015-01-29
Returned To Mfg2014-12-11
Catalog NumberX00-004998-001
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerIRIS INTL
Manufacturer Address9172 ETON AVE. CHATSWORTH CA 91311 US 91311


Patients

Patient NumberTreatmentOutcomeDate
10 2015-01-29

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