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 2015-03-06 for STATSPIN MP X00-004998-001 manufactured by Iris International.

Event Text Entries

[5341749] Customer reported sparks at the power inlet and unit not powering on.
Patient Sequence No: 1, Text Type: D, B5


[13050640] The customer reported that their statspin mp would not power on. It also lightly sparked at the power port when plugged in. There was no report of injury to the operator, no smoke or fire and the fire department was not called. The unit was returned to the manufacturer for further analysis. Upon analysis, a burned pcb was identified. The defective pcb pulled a high current which caused the burned component and the electrical spark at the power port.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2023446-2015-00042
MDR Report Key4589794
Report Source07
Date Received2015-03-06
Date of Report2015-02-05
Date of Event2015-02-05
Date Mfgr Received2015-02-05
Device Manufacturer Date2011-10-01
Date Added to Maude2015-04-10
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 Received2015-03-06
Catalog NumberX00-004998-001
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerIRIS INTERNATIONAL
Manufacturer Address9172 ETON AVE. CHATSWORTH CA 91311 US 91311


Patients

Patient NumberTreatmentOutcomeDate
10 2015-03-06

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