IMMULINK 0064327

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2018-03-19 for IMMULINK 0064327 manufactured by Immucor, Inc..

Event Text Entries

[103273309] An immucor specialist employee assessed the software in question on (b)(6) 2018 and confirmed that the date of birth demographic information is indeed carried over from the previous sample, but the immucor specialist employee was able to establish that no other demographic information is carried over. To clarify, this issue happens when a sample that does not have patient demographics is scanned into the qiacube worklist in immulink software following a sample that does have patient demographics. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[103273310] On (b)(6) 2018, a customer site reported a label generated from immulink software that contained the wrong patient demographic information.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1034569-2018-00071
MDR Report Key7348974
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2018-03-19
Date of Report2018-03-19
Date of Event2018-02-21
Date Mfgr Received2018-02-21
Date Added to Maude2018-03-19
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationMEDICAL TECHNOLOGIST
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR HOWARD YOREK
Manufacturer Street3130 GATEWAY DRIVE
Manufacturer CityNORCROSS GA 300915625
Manufacturer CountryUS
Manufacturer Postal300915625
Manufacturer Phone7704412051
Manufacturer G1IMMUCOR, INC.
Manufacturer Street3130 GATEWAY DRIVE
Manufacturer CityNORCROSS GA 300915625
Manufacturer CountryUS
Manufacturer Postal Code300915625
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameIMMULINK
Generic NameSOFTWARE, BLOOD BANK, STAND ALONE
Product CodeMMH
Date Received2018-03-19
Catalog Number0064327
OperatorMEDICAL TECHNOLOGIST
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerIMMUCOR, INC.
Manufacturer Address3130 GATEWAY DRIVE NORCROSS GA 300915625 US 300915625


Patients

Patient NumberTreatmentOutcomeDate
10 2018-03-19

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