FDA Adverse Event
Malfunction
Summary report: N
CHEMISTRY ANALYZER
MDR report key: 21321191
·
Received February 6, 2025
Report
- Report Number
- 21321191
- Event Type
- Malfunction
- Date Received
- February 6, 2025
- Date of Event
- January 8, 2025
- Report Date
- February 3, 2025
- Manufacturer
- ALFA WASSERMANN, INC.
- Product Code
- JJE
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- PA
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
CHEMISTRY ANALYZER ISSUE (HOPPER ERROR, REPLACED WITH EXTRA HOPPER ON SITE). BACK-UP HOPPER IS NOW PRESENT. NO PATIENT HARM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1351767 | CHEMISTRY ANALYZER | ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE | JJE | ALFA WASSERMANN, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |