FDA Adverse Event Malfunction Summary report: N

CURATIVE

MDR report key: 12203411 · Received July 20, 2021

Report

Report Number
MW5102665
Event Type
Malfunction
Date Received
July 20, 2021
Date of Event
July 14, 2021
Report Date
July 18, 2021
Manufacturer
CURATIVE, INC.
Product Code
NNK
Product Problem
Yes
Report Source
Voluntary report
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

TOOK TEST WITH CURATIVE. NEVER RECEIVED RESULTS OR CORRESPONDENCE. THIS WAS IN (B)(6) CURATIVE REMOTE TEST SITE. FDA SAFETY REPORT ID # (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1094059 CURATIVE CONTAINER, SPECIMEN MAILER AND STORAGE, NON-STERILE NNK CURATIVE, INC.

Patients

Seq Age Sex Outcome Treatment
1 42 YR Other