LIQUICHEK SPINAL FLUID CONTROL LEVEL 1 751

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-10-24 for LIQUICHEK SPINAL FLUID CONTROL LEVEL 1 751 manufactured by Bio-rad Laboratories Inc.

Event Text Entries

[90953373] Bio-rad sent samples of liquichek spinal fluid lot 55660 to two different labs using two different test methods (hologic procleix grifols nat and roche mpx v2. 0 multiplex nat) to analyze for (b)(6). Results were reported as (b)(6). Bio-rad also reviewed the vendor certificate of analysis (coa) for all human sourced raw materials used. The raw materials indicted (b)(6) results for (b)(6) using fda approved methods.
Patient Sequence No: 1, Text Type: N, H10


[90953374] On october 10, 2017 bio-rad (b)(4) received a report from the university (b)(6) in the (b)(6) of an eye splash involving liquichek spinal fluid control that had occurred approximately 4 weeks earlier. A lab technician had splashed the spinal fluid control into her eye. She had recently developed a "rash and temperature rise consistent with (b)(6)".
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2016706-2017-00003
MDR Report Key6974280
Date Received2017-10-24
Date of Event2017-09-10
Date Mfgr Received2017-10-10
Date Added to Maude2017-10-24
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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 FDA3
Report to FDA3
Event Location3
Manufacturer ContactDR SUZANNE PARSONS
Manufacturer Street9500 JERONIMO ROAD
Manufacturer CityIRVINE CA 926182017
Manufacturer CountryUS
Manufacturer Postal926182017
Manufacturer Phone9495981200
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameLIQUICHEK SPINAL FLUID CONTROL LEVEL 1
Generic NameMULTI-ANALYTE CONTROLS, ALL KINDS (ASSAYED)
Product CodeJJY
Date Received2017-10-24
Catalog Number751
Lot Number55661
Device Expiration Date2018-06-30
Device AvailabilityN
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerBIO-RAD LABORATORIES INC
Manufacturer Address9500 JERONIMO ROAD IRVINE CA 926182017 US 926182017


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-10-24

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