0.8% RESOLVE PANEL A 719501

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2006-11-08 for 0.8% RESOLVE PANEL A 719501 manufactured by Ortho-clinical Diagnostics.

Event Text Entries

[761887] A customer reported that a pt sample known to contain anti-c and anti-e did not react with multiple c negative, e positive cells of 0. 8% resolve panel a lot 8ra200. No death or serious injury is associated with this event.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2250051-2006-50483
MDR Report Key965124
Date Received2006-11-08
Date of Event2006-10-10
Date Added to Maude2007-12-18
Event Key0
Report Source CodeDistributor report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand Name0.8% RESOLVE PANEL A
Generic NameREAGENT RED BLOOD CELLS
Product CodeKZS
Date Received2006-11-08
Model NumberNA
Catalog Number719501
Lot Number8RA200
ID NumberNA
Device Expiration Date2006-10-17
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Age*
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key934789
ManufacturerORTHO-CLINICAL DIAGNOSTICS
Manufacturer Address* RARITAN NJ 08869 US


Patients

Patient NumberTreatmentOutcomeDate
10 2006-11-08

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