PRISM 6 CHANNEL ANALYZER 06A36-04

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional report with the FDA on 2018-11-12 for PRISM 6 CHANNEL ANALYZER 06A36-04 manufactured by Abbott Manufacturing Inc.

Event Text Entries

[126940496] All available patient information was included. Additional patient details are not available. An evaluation is in process. A final report will be submitted when the evaluation is complete.
Patient Sequence No: 1, Text Type: N, H10


[126940497] A staff member at manchester blood transfusion services injured their back while operating the prism analyzer. The staff member suffered a muscular back injury. The patient is no longer in pain, but is a little stiff around the injured area. The staff member did not see a doctor, they took ibuprofen to help with the pain and swelling.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1628664-2018-02004
MDR Report Key8060205
Report SourceFOREIGN,HEALTH PROFESSIONAL
Date Received2018-11-12
Date of Report2018-12-19
Date Mfgr Received2018-12-19
Device Manufacturer Date2000-11-08
Date Added to Maude2018-11-12
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactNOEMI ROMERO-KONDOS, RN BSN
Manufacturer Street100 ABBOTT PARK ROAD DEPT. 09B9, LCCP1-3
Manufacturer CityABBOTT PARK IL 600643537
Manufacturer CountryUS
Manufacturer Postal600643537
Manufacturer Phone224667-512
Manufacturer G1ABBOTT MANUFACTURING INC
Manufacturer Street1921 HURD DRIVE
Manufacturer CityIRVING TX 75038
Manufacturer CountryUS
Manufacturer Postal Code75038
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePRISM 6 CHANNEL ANALYZER
Generic NameAUTOMATED IMMUNOASSAY ANALYZER
Product CodeMZA
Date Received2018-11-12
Catalog Number06A36-04
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerABBOTT MANUFACTURING INC
Manufacturer Address1921 HURD DRIVE IRVING TX 75038 US 75038


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2018-11-12

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