MAGNAPURE LC SYSTEM MAGNA PURE 12236931001

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 2007-12-28 for MAGNAPURE LC SYSTEM MAGNA PURE 12236931001 manufactured by Roche Diagnostics.

Event Text Entries

[774146] User experiencing cross contamination when using the magnapure lc sys. No specific data provided. The investigational unit was not able to identify the root cause to this problem. It was noted, the customer is using non specified sample material, the customer has reported reagent splattering, and the customer does not use ung to eliminate contaminations by pcr prods.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1823260-2007-11156
MDR Report Key971574
Report Source05,06
Date Received2007-12-28
Date of Report2007-12-28
Date of Event2007-03-05
Date Facility Aware2007-03-05
Report Date2007-03-05
Date Mfgr Received2007-03-05
Date Added to Maude2008-04-10
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location3
Manufacturer ContactSALLY BOWDEN
Manufacturer Street9115 HAGUE RD.
Manufacturer CityINDIANAPOLIS IN 46250
Manufacturer CountryUS
Manufacturer Postal46250
Manufacturer Phone3175214668
Manufacturer G1ROCHE INSTRUMENT CENTER
Manufacturer StreetFORRENSTRASSE
Manufacturer CityROTKREUZ 6343
Manufacturer CountrySZ
Manufacturer Postal Code6343
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMAGNAPURE LC SYSTEM
Generic NameNUCLEIC ACID ISOLATION SYSTEM -
Product CodeLNJ
Date Received2007-12-28
Model NumberMAGNA PURE
Catalog Number12236931001
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key974208
ManufacturerROCHE DIAGNOSTICS
Manufacturer AddressINDIANAPOLIS IN


Patients

Patient NumberTreatmentOutcomeDate
10 2007-12-28

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