*

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2004-12-21 for * manufactured by Ortho-clinical Diagnostics, Inc..

Event Text Entries

[21992499] The instrument has een investigated with the customer over the phone. Customer reports all their hand held barcode scanners are reading an a or b in place of the number 4 problem is intermittent.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2250051-2004-00515
MDR Report Key959380
Report Source05,06
Date Received2004-12-21
Date Mfgr Received2004-11-22
Date Added to Maude2007-12-07
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag0
Reprocessed and Reused Flag0
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location0
Manufacturer ContactLAURA VALLUCCI, PHD
Manufacturer Street1001 US HWY 202
Manufacturer CityRARITAN NJ 08669
Manufacturer CountryUS
Manufacturer Postal08669
Manufacturer Phone9082188532
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand Name*
Generic Name*
Product CodeLRH
Date Received2004-12-21
Model Number*
Catalog Number*
Lot Number*
ID Number*
Device Eval'ed by MfgrY
Implant FlagN
Device Sequence No1
Device Event Key929624
ManufacturerORTHO-CLINICAL DIAGNOSTICS, INC.
Manufacturer AddressROUTE 202 RARITAN NJ 08869 US


Patients

Patient NumberTreatmentOutcomeDate
10 2004-12-21

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