FDA Adverse Event
Injury
Summary report: N
STATLAB SPECIMEN TRANSPORT CONTAINER
MDR report key: 18392471
·
Received December 22, 2023
Report
- Report Number
- MW5149505
- Event Type
- Injury
- Date Received
- December 22, 2023
- Date of Event
- August 1, 2023
- Report Date
- December 20, 2023
- Manufacturer
- STATLAB MEDICAL PRODUCTS/SLMP LLC (STATLAB MEDICAL PRODUCTS)
- Product Code
- IFP
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MO, US
- Reporter Occupation
- 501
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
SEVERAL INSTANCES OF THE FLUID INSIDE THE CUP LEAKING OUT AFTER CLOSING. THE CUP LID "CLICKS" WHEN CLOSING TO INDICATE IT HAS SEALED. DISCOVERED MULTIPLE CUPS NOT CLICKING WHEN CLOSING. NOT ALL THE CUPS THAT DID NOT "CLICK" WHEN CLOSED LEAKED, BUT ALL THE CUPS THAT LEAKED DID NOT "CLICK". REFERENCE REPORT: MW5149506.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2292785 | STATLAB SPECIMEN TRANSPORT CONTAINER | FORMALIN, NEUTRAL BUFFERED | IFP | STATLAB MEDICAL PRODUCTS/SLMP LLC (STATLAB MEDICAL PRODUCTS) | CH60NBFBJC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 59 YR | Prefer Not To Disclose | Required Intervention |