CHOLESTRAK *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2004-12-07 for CHOLESTRAK * manufactured by Accutech, Llc.

Event Text Entries

[383385] This is not the first time store has expired products for sale. If one is not feeling well, one is not alert enough to notice these things.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1033964
MDR Report Key562787
Date Received2004-12-07
Date of Report2004-11-18
Date of Event2004-01-01
Date Added to Maude2005-01-04
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
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 NameCHOLESTRAK
Generic NameCHOLESTEROL MEASURING DEVICE
Product CodeNFX
Date Received2004-12-07
Model Number*
Catalog Number*
Lot NumberUPC 7-8376280202
ID Number*
Device Expiration Date2002-08-01
OperatorLAY USER/PATIENT
Device AvailabilityY
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key552519
ManufacturerACCUTECH, LLC
Manufacturer Address2641 LA MIRADA DRIVE VISTA CA 92081 US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2004-12-07

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