NUCLISENS? EASYMAG? MAGNETIC SILICA 384T 280133

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-04-12 for NUCLISENS? EASYMAG? MAGNETIC SILICA 384T 280133 manufactured by Biom?rieux Sa.

Event Text Entries

[72805301] An internal investigation concluded: no significant difference was observed between the impacted silica batches and the reference lots. During internal testing, the event was reproduced with tubes exposed at freezing temperature (-19/-31? C) for the silica. The ratio of silica particles is really low with a long period of freezing. No issue was observed in regards to the amount of silica. The nucl. Magn. Silica 384t (reference (b)(4)) is highly sensitive to freezing and must be placed away from the walls of the refrigerators against which it is likely to freeze.
Patient Sequence No: 1, Text Type: N, H10


[72805302] A customer in (b)(6) notified biom? Rieux that some batches of product have less silica than others. The customer reported that after the extraction they can see less silica than what is normally observed and that they missed some peak positives. There is no indication or report from the laboratory or physician that the discrepant result led to any adverse event related to a patient's state of health.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3002769706-2017-00072
MDR Report Key6486531
Date Received2017-04-12
Date of Report2017-04-12
Date Mfgr Received2017-02-09
Date Added to Maude2017-04-12
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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
Manufacturer ContactMS. ELLEN WELTMER
Manufacturer Street595 ANGLUM ROAD
Manufacturer CitySAINT LOUIS MO 63042
Manufacturer CountryUS
Manufacturer Postal63042
Manufacturer G1BIOM
Manufacturer Street5, RUE DES BERGES CEDEX 01
Manufacturer CityGRENOBLE, 38024
Manufacturer CountryFR
Manufacturer Postal Code38024
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameNUCLISENS? EASYMAG? MAGNETIC SILICA 384T
Generic NameNUCLISENS? EASYMAG? MAGNETIC SILICA 384T, LDT
Product CodeLDT
Date Received2017-04-12
Catalog Number280133
Lot NumberZ018BD1MS
Device Expiration Date2018-02-28
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBIOM?RIEUX SA
Manufacturer Address5, RUE DES BERGES CEDEX 01 GRENOBLE, 38024 FR 38024


Patients

Patient NumberTreatmentOutcomeDate
10 2017-04-12

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