MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2007-02-02 for manufactured by .

Event Text Entries

[7920483] Jms singapore pte ltd is the oem mfr for gambro renal products to produce plume safety avf needle set. Our evaluation of dhr and preserved samples showed that no abnormality was associated with these complained lots. We assure that our products' form, fit and function met the required specification as no defective was detected via all the testing and evaluations. Furthermore, according to info provided by jmsna, this incident was not related to our avf needle, and end-user had commented that it should be an operational error during the treatment. Hence, we conclude that this complaint is not related to our mfg process and no corrective action will be applicable. Lastly, jmss will continue to maintain the good quality of our products and ensure that only good quality products will be delivered to customers.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3002807350-2007-00001
MDR Report Key820157
Report Source06
Date Received2007-02-02
Date Mfgr Received2007-01-18
Date Added to Maude2007-02-27
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag0
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location0
Manufacturer ContactC KOH
Manufacturer Street440 ANG MO KIO INDUSTRIAL PARK 1
Manufacturer CitySINGAPORE 569620
Manufacturer CountrySN
Manufacturer Postal569620
Manufacturer Phone4571176280
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Product CodeFIR
Date Received2007-02-02
Device Eval'ed by MfgrR
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key807624


Patients

Patient NumberTreatmentOutcomeDate
10 2007-02-02

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