FDA Adverse Event Malfunction Summary report: N

BUN

MDR report key: 14521989 · Received May 26, 2022

Report

Report Number
MW5109950
Event Type
Malfunction
Date Received
May 26, 2022
Report Date
May 26, 2022
Manufacturer
CAROLINA LIQUID CHEMISTRIES CORP.
Product Code
CDQ
Product Problem
Yes
Report Source
Voluntary report
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
*

Narratives

Description of Event or Problem · 0

DURING COMPLAINT HANDLING, A CUSTOMER (B)(6) REPORTED PRODUCT FAILURE. CAROLINA LIQUID CHEMISTRIES CORP.¿S RETENTION SAMPLE FAILED QUALITY CONTROL AND THE LEAD RESEARCH ASSOCIATE REPLACED THE MEDICAL DEVICE WITH ANOTHER COMPANY¿S MEDICAL DEVICE AND SENT IT TO THE CUSTOMER AS A REPLACEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2160748 BUN UREASE AND GLUTAMIC DEHYDROGENASE, UREA NITROGEN CDQ CAROLINA LIQUID CHEMISTRIES CORP.

Patients

Seq Age Sex Outcome Treatment
1 Unknown