STA COMPACT MAX IVD COAGULATION DEVICE/INSTRUMENT 58990

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor report with the FDA on 2018-07-31 for STA COMPACT MAX IVD COAGULATION DEVICE/INSTRUMENT 58990 manufactured by Diagnostica Stago S.a.s..

Event Text Entries

[115596424] (b)(4). A stago field support engineer was dispatched to investigate the issue. While at the customer site he "cleaned the cuvette suction tip and head. Checked safety features in multiple situations, every situation tested worked as specified. Couldn't duplicate the issue reported. " system testing: passed endurance and qc. (b)(6) signed the work order containing the work performed by the fse stated above. Investigations are currently in progress. The conclusion will be communicated as soon as it is available.
Patient Sequence No: 1, Text Type: N, H10


[115596425] On (b)(6) 2018, (b)(6) contacted the stago hotline to report "that one of his techs,... Was hurt while working on the stago instrument. She was trying to retrieve a broken cuvette out of the instrument. (b)(6) says that his tech stated that the sample arm moved suddenly and bruised and scratched her arm. She was placed on antibiotics. An incident report was requested by stago but was not supplied by the customer. A stago field support engineer was dispatched to investigate the issue. While at the customer site he "cleaned the cuvette suction tip and head. Checked safety features in multiple situations, every situation tested worked as specified. Couldn't duplicate the issue reported. " system testing: passed endurance and qc. (b)(6) signed the work order containing the work performed by the fse stated above.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number8043723-2018-00001
MDR Report Key7735696
Report SourceDISTRIBUTOR
Date Received2018-07-31
Date of Report2018-06-19
Date of Event2018-06-19
Date Facility Aware2018-06-19
Report Date2018-07-17
Date Reported to FDA2018-07-17
Date Reported to Mfgr2018-07-17
Date Mfgr Received2018-06-22
Device Manufacturer Date2015-07-09
Date Added to Maude2018-07-31
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Manufacturer ContactMR. WALID BEN AMMAR
Manufacturer Street2 RUE PIERRE FOSSATI
Manufacturer CityFRANCONVILLE VAL-DOISE, 95130
Manufacturer CountryFR
Manufacturer Postal95130
Manufacturer G1DIAGNOSTICA STAGO S.A.S.
Manufacturer Street125 AVENUE LOUIS ROCHE PAE PARISPACE 3
Manufacturer CityGENNEVILLIERS, 92230, FR
Manufacturer CountryFR
Manufacturer Postal Code92230, FR
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSTA COMPACT MAX
Generic NameCOMPACT MAX
Product CodeJPA
Date Received2018-07-31
Model NumberIVD COAGULATION DEVICE/INSTRUMENT
Catalog Number58990
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Age3 YR
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerDIAGNOSTICA STAGO S.A.S.
Manufacturer Address125 AVENUE LOUIS ROCHE PAE PARISPACE 3 GENNEVILLIERS, 92230 FR 92230


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-07-31

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