INTERMEC BARCODE READER 6900201 935240

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2003-11-24 for INTERMEC BARCODE READER 6900201 935240 manufactured by Ortho-clinical Diagnostics.

Event Text Entries

[358447] After scanning a sample id using the intermec barcode reader, it was discovered that a misread occurred across three different assays. No error was generated. No death or serious injury was associated with this complaint.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2250051-2003-01293
MDR Report Key508681
Date Received2003-11-24
Date of Report2003-11-04
Date of Event2003-09-04
Date Facility Aware2003-09-04
Report Date2003-11-04
Date Added to Maude2004-01-30
Event Key0
Report Source CodeDistributor report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameINTERMEC BARCODE READER
Generic NameBARCODE READER
Product CodeLRH
Date Received2003-11-24
Model Number6900201
Catalog Number935240
Lot NumberNA
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeUNKNOWN
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key497628
ManufacturerORTHO-CLINICAL DIAGNOSTICS
Manufacturer Address1001 US HWY 202 RARITAN NJ 088690606 US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2003-11-24

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