MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-09-04 for VITROS CHEMISTRY PRODUCTS CREA SLIDES 6802584 manufactured by Ortho-clinical Diagnostics.
| Report Number | 1319809-2019-00065 | 
| MDR Report Key | 8960219 | 
| Date Received | 2019-09-04 | 
| Date of Report | 2019-09-04 | 
| Date of Event | 2019-08-07 | 
| Date Mfgr Received | 2019-08-09 | 
| Device Manufacturer Date | 2019-05-31 | 
| Date Added to Maude | 2019-09-04 | 
| Event Key | 0 | 
| Report Source Code | Manufacturer report | 
| Manufacturer Link | Y | 
| Number of Patients in Event | 0 | 
| Adverse Event Flag | 3 | 
| Product Problem Flag | 3 | 
| Reprocessed and Reused Flag | 3 | 
| Health Professional | 3 | 
| Initial Report to FDA | 3 | 
| Report to FDA | 3 | 
| Event Location | 3 | 
| Manufacturer Contact | MR. JAMES A STEVENS | 
| Manufacturer Street | 100 INDIGO CREEK DRIVE | 
| Manufacturer City | ROCHESTER NY 14626 | 
| Manufacturer Country | US | 
| Manufacturer Postal | 14626 | 
| Manufacturer Phone | 5854533000 | 
| Manufacturer G1 | ORTHO-CLINICAL DIAGNOSTICS | 
| Manufacturer Street | 513 TECHNOLOGY BLVD. | 
| Manufacturer City | ROCHESTER NY 14652 | 
| Manufacturer Country | US | 
| Manufacturer Postal Code | 14652 | 
| Single Use | 3 | 
| Previous Use Code | 3 | 
| Event Type | 3 | 
| Type of Report | 0 | 
| Brand Name | VITROS CHEMISTRY PRODUCTS CREA SLIDES | 
| Generic Name | IN-VITRO DIAGNOSTIC | 
| Product Code | JFY | 
| Date Received | 2019-09-04 | 
| Catalog Number | 6802584 | 
| Lot Number | 1522-3589-7685 | 
| Operator | HEALTH PROFESSIONAL | 
| Device Availability | Y | 
| Device Eval'ed by Mfgr | Y | 
| Device Sequence No | 1 | 
| Device Event Key | 0 | 
| Manufacturer | ORTHO-CLINICAL DIAGNOSTICS | 
| Manufacturer Address | 100 INDIGO CREEK DRIVE ROCHESTER NY 14626 US 14626 | 
| Patient Number | Treatment | Outcome | Date | 
|---|---|---|---|
| 1 | 0 | 2019-09-04 |