SHEEP BLOOD, 100 ML * 211946

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2004-07-01 for SHEEP BLOOD, 100 ML * 211946 manufactured by Becton-dickinson.

Event Text Entries

[363557] Shipment of sheep blood was received in the lab in 2004. This is used to inoculate non-blood samples -i. E. Fluids- in blood culture media to enhance growth and provide a supplement. It was set-up as a control to determine if there were any contaminates along with the pt. Nothing was isolated until 2 weeks later a gram negative rod. Preliminary testing done in house. Suspicion of brucella. Sent to the state board of health (sboh). Sboh identified brucella species. Sboh sent to cdc for species.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1032726
MDR Report Key542846
Date Received2004-07-01
Date of Report2004-07-01
Date of Event2004-06-08
Date Added to Maude2004-09-13
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
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 FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameSHEEP BLOOD, 100 ML
Generic Name*
Product CodeJSK
Date Received2004-07-01
Model Number*
Catalog Number211946
Lot Number4155326
ID Number*
Device Expiration Date2004-06-29
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key532216
ManufacturerBECTON-DICKINSON
Manufacturer Address* * *


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2004-07-01

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