EMAG? 418591

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional,u report with the FDA on 2018-05-02 for EMAG? 418591 manufactured by Biomerieux Italia S.p.a..

Event Text Entries

[107826009] A customer from (b)(6) notified biom? Rieux of crystallization on the distribution nozzles of the emag? Instrument (ref 418591). The customer reported that there were blood crystals on this nozzle resulting in potential specimen contamination. There is no indication from the laboratory that the described issue led to any adverse event related to any patient's state of health. A biom? Rieux internal investigation will be initiated.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3002769706-2018-00064
MDR Report Key7480029
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2018-05-02
Date of Report2018-10-16
Date Mfgr Received2018-09-17
Date Added to Maude2018-05-02
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 ContactMRS. CANDACE MARTIN
Manufacturer Street595 ANGLUM ROAD
Manufacturer CityHAZELWOOD MO 63042
Manufacturer CountryUS
Manufacturer Postal63042
Manufacturer Phone3147317301
Manufacturer G1BIOMERIEUX ITALIA S.P.A.
Manufacturer StreetVIA DI CAMPIGLIANO 58 - LOC. PONTE A EMA
Manufacturer City50012 BAGNO A RIPOLI,
Manufacturer CountryIT
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameEMAG?
Generic NameEMAG?
Product CodeJJH
Date Received2018-05-02
Model Number418591
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBIOMERIEUX ITALIA S.P.A.
Manufacturer AddressVIA DI CAMPIGLIANO 58 - LOC. PONTE A EMA 50012 BAGNO A RIPOLI, IT


Patients

Patient NumberTreatmentOutcomeDate
10 2018-05-02

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