MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2007-01-18 for ORTHO SUMMIT SAMPLE HANDLING SYSTEM 7003009 936400 manufactured by Hamilton Bonaduz Ag.
[611877]
The ortho summit sample handling system instrument reportedly did not pipette sample/reagent and did not generate an error message. No death or serious injury was associated with this incident.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2250051-2007-70012 |
| MDR Report Key | 830713 |
| Date Received | 2007-01-18 |
| Date of Report | 2007-01-18 |
| Date of Event | 2006-12-19 |
| Date Added to Maude | 2007-03-27 |
| Event Key | 0 |
| Report Source Code | Distributor report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | MEDICAL TECHNOLOGIST |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | ORTHO SUMMIT SAMPLE HANDLING SYSTEM |
| Generic Name | SAMPLE PIPETTER |
| Product Code | JTQ |
| Date Received | 2007-01-18 |
| Model Number | 7003009 |
| Catalog Number | 936400 |
| Lot Number | * |
| ID Number | * |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | * |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 818065 |
| Manufacturer | HAMILTON BONADUZ AG |
| Manufacturer Address | * BONADUZ SZ CH 7402 |
| Baseline Brand Name | ORTHO SUMMIT SAMPLE HANDLER |
| Baseline Generic Name | SAMPLE HANDLER |
| Baseline Model No | 7003009 |
| Baseline Catalog No | 936400 |
| Baseline ID | NA |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2007-01-18 |