TT MICRO TEST KIT WITH FTM GROWTH MEDIA F-S005 AND F700 FF7S005

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-01-28 for TT MICRO TEST KIT WITH FTM GROWTH MEDIA F-S005 AND F700 FF7S005 manufactured by Cultivate / Parasol Medical.

Event Text Entries

[177157939] Growth media test kit noted to have expiration date of syringe that is different from date on package. Exp: 09/20/2020 is on packaging and 09/20/2019 is on syringe. Product not used, identified discrepancy in dating prior to use. Fda safety report id# (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5092617
MDR Report Key9642527
Date Received2020-01-28
Date of Report2020-01-24
Date Added to Maude2020-01-29
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPHARMACIST
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameTT MICRO TEST KIT WITH FTM GROWTH MEDIA
Generic NameCULTURE MEDIA, NON-SELECTIVE AND NON-DIFFERENTIAL
Product CodeJSJ
Date Received2020-01-28
Model NumberF-S005 AND F700
Catalog NumberFF7S005
Lot Number20180920
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerCULTIVATE / PARASOL MEDICAL
Manufacturer AddressCN


Patients

Patient NumberTreatmentOutcomeDate
10 2020-01-28

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