HEMOCCULT II SENSA 64151

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-02-19 for HEMOCCULT II SENSA 64151 manufactured by Beckman Coulter, Inc..

Event Text Entries

[38537656]
Patient Sequence No: 1, Text Type: N, H10


[38537657] Each card has a control window and i am told that the positive control window should be white with no obvious color. However, all of these (several boxes) have a grey/blue ink mark in the control window.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number5446462
MDR Report Key5446462
Date Received2016-02-19
Date of Report2016-02-15
Date of Event2016-01-27
Report Date2016-02-15
Date Reported to FDA2016-02-15
Date Reported to Mfgr2016-02-15
Date Added to Maude2016-02-19
Event Key0
Report Source CodeUser Facility 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 Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHEMOCCULT II SENSA
Generic NameREAGENT, OCCULT BLOOD
Product CodeKHE
Date Received2016-02-19
Model Number64151
Lot Number52251 13R
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Age1 DY
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerBECKMAN COULTER, INC.
Manufacturer Address740 WEST 83RD ST. HIALEAH FL 33014 US 33014


Patients

Patient NumberTreatmentOutcomeDate
10 2016-02-19

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