MAUDE MDR 8018794

MDR report key
8018794
Report number
8018794
Event key
0
Event type
3
Date of event
2018-08-15
Date received
2018-10-30
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
500
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Report source
U
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1HEMOCCULTREAGENT, OCCULT BLOODBECKMAN COULTER, INC.KHE* Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12018-10-300

Event Narratives#

D

Patient 1

STOOL FOR OCCULT BLOOD SENT; LAB CALLED AND SAID THERE WAS SOMETHING WRONG WITH THE SPECIMEN CARDS. THEY ARE LIGHT BLUE IN COLOR TO START BEFORE THE TESTING WAS DONE, AND BLUE IS A POSITIVE TEST.