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 2006-11-08 for manufactured by .

Event Text Entries

[19517977] Ortho-clinical diagnostics (ocd) qa performed retain testing to confirm the reactivity of the e antigens. Satisfactory results were observed.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1056600-2006-00483
MDR Report Key965127
Report Source05,06
Date Received2006-11-08
Date Mfgr Received2006-10-10
Device Manufacturer Date2006-08-01
Date Added to Maude2007-12-18
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 VELLUCCI PH.D.
Manufacturer Street1001 US HWY 202
Manufacturer CityRARITAN NJ 08869
Manufacturer CountryUS
Manufacturer Postal08869
Manufacturer Phone9082188532
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Product CodeKZS
Date Received2006-11-08
Device Eval'ed by MfgrY
Implant FlagN
Device Sequence No1
Device Event Key934789


Patients

Patient NumberTreatmentOutcomeDate
10 2006-11-08

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