FDA Adverse Event
Malfunction
Summary report: N
ABBOTT AXSYM SYSTEM
MDR report key: 275181
·
Received April 20, 2000
Report
- Report Number
- 1628664-2000-00023
- Event Type
- Malfunction
- Date Received
- April 20, 2000
- Date of Event
- March 18, 2000
- Report Date
- April 17, 2000
- Manufacturer
- ABBOTT MFG, INC.
- Product Code
- JJE
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
ON 3/18/2000, THE TOP COVER OF AXSYM FELL AND HIT THE CUSTOMER ON THE HEAD. HEAD WAS SORE, BUT NOT CUT. NO MEDICAL ATTENTION NECESSARY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ABBOTT AXSYM SYSTEM | AUTOMATED IMMUNOASSAY ANALYZER | JJE | ABBOTT MFG, INC. | NA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 42 YR |