LABORATORY CORPORATION DNA ANALYSIS MACHINE *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2003-08-15 for LABORATORY CORPORATION DNA ANALYSIS MACHINE * manufactured by Laboratory Corp Of America.

Event Text Entries

[291977] Reporter took test with a lab, reporter believes the machines did not test the test properly. Reporter has reason to believe the lab copy results were from another dna lab. The test was done with reporter's significant other. Please check systems for accuracy.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1029331
MDR Report Key479348
Date Received2003-08-20
Date of Report2003-08-15
Date of Event2003-04-08
Date Added to Maude2003-08-26
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameLABORATORY CORPORATION DNA ANALYSIS MACHINE
Generic NameDNA MACHINE
Product CodeLNJ
Date Received2003-08-15
Model Number*
Catalog Number*
Lot Number*
ID Number*
OperatorOTHER
Device AvailabilityY
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key468189
ManufacturerLABORATORY CORP OF AMERICA
Manufacturer Address* BURLINGTON NC * US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2003-08-20

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