MAUDE MDR 741608

MDR report key
741608
Report number
2250051-2005-00450
Event key
0
Event type
3
Date received
2005-09-30
Adverse event
0
Product problem
0
Patients in event
0
Reporter occupation
0
Health professional
0
Initial report to FDA
0
Event location
0

Manufacturer Contact#

Contact
LAURA VELLUCCI PH.D.
Address
1001 US HWY 202 RARITAN NJ 08869 US
Phone
908-908-9082
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1JTLNY

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12005-09-300

Event Narratives#

N

Patient 1

THE INSTRUMENT HAS BEEN INVESTIGATED. THE PHOTOMETER FILTER BLOCK LENS, AND VACUUM PUMP WERE CLEANED. THE MANIFOLD O-RINGS WERE REPLACED. THE INSTRUMENT WAS INSPECTED, TESTED WITHOUT FURTHER PROBLEM, AND RETURNED TO SERVICE.