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 |