MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative report with the FDA on 2020-02-24 for PROBECHEK UROVYSION CONTROL SLIDE 02J27-011 02J27-11 manufactured by Abbott Molecular, Inc..
| Report Number | 3005248192-2020-00002 |
| MDR Report Key | 9747843 |
| Report Source | COMPANY REPRESENTATIVE |
| Date Received | 2020-02-24 |
| Date of Report | 2020-04-02 |
| Date of Event | 2020-01-29 |
| Date Mfgr Received | 2020-03-18 |
| Device Manufacturer Date | 2019-07-15 |
| Date Added to Maude | 2020-02-24 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MR. JOE HUTSON |
| Manufacturer Street | 1300 E. TOUHY AVE. |
| Manufacturer City | DES PLAINES, IL |
| Manufacturer Country | US |
| Manufacturer Phone | 3617619 |
| Manufacturer G1 | ABBOTT MOLECULAR, INC. |
| Manufacturer Street | 1300 E. TOUHY AVE. |
| Manufacturer City | DES PLAINES, IL |
| Manufacturer Country | US |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | PROBECHEK UROVYSION CONTROL SLIDE |
| Generic Name | TEST, FLUORESCENCE IN SITU HYBRIDIZATION (FISH), FOR BLADDER CANCER DETECTION |
| Product Code | NSD |
| Date Received | 2020-02-24 |
| Model Number | 02J27-011 |
| Catalog Number | 02J27-11 |
| Lot Number | 497909 |
| Device Availability | Y |
| Device Age | DA |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ABBOTT MOLECULAR, INC. |
| Manufacturer Address | 1300 E. TOUHY AVE. DES PLAINES, IL US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2020-02-24 |