MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2003-05-15 for ANTI-LE (MURINE MONOCLONAL) BIOCLONE NI 103083 manufactured by Ortho-clinical Diagnostics.
[304788]
Customer reported that negative reactions were observed with this product and lea+ cells. No death or serious injury was associated with this incident.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 2250051-2003-00112 |
MDR Report Key | 461451 |
Report Source | 05 |
Date Received | 2003-05-15 |
Date of Report | 2003-05-12 |
Date of Event | 2003-04-23 |
Date Mfgr Received | 2003-04-23 |
Date Added to Maude | 2003-05-23 |
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 | NANCY PAPCIAK |
Manufacturer Street | 1001 US HWY 202 |
Manufacturer City | RARITAN NJ 088690606 |
Manufacturer Country | US |
Manufacturer Postal | 088690606 |
Manufacturer Phone | 9087043872 |
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 | ANTI-LE (MURINE MONOCLONAL) BIOCLONE |
Generic Name | BLOOD GROUPING REAGENT |
Product Code | GNY |
Date Received | 2003-05-15 |
Model Number | NI |
Catalog Number | 103083 |
Lot Number | LAB112A |
ID Number | NA |
Device Expiration Date | 2003-06-13 |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Eval'ed by Mfgr | N |
Implant Flag | N |
Date Removed | A |
Device Sequence No | 1 |
Device Event Key | 450393 |
Manufacturer | ORTHO-CLINICAL DIAGNOSTICS |
Manufacturer Address | 1001 US HWY 202 RARITAN NJ 088690606 US |
Baseline Brand Name | ANTI-LE (MURINE MONOCLONAL) BIOCLONE |
Baseline Generic Name | BLOOD GROUPING REAGENT |
Baseline Model No | NI |
Baseline Catalog No | 103083 |
Baseline ID | NA |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2003-05-15 |