FDA Adverse Event
Malfunction
Summary report: N
SEDIPLAST
MDR report key: 2771318
·
Received September 28, 2012
Report
- Report Number
- 2771318
- Event Type
- Malfunction
- Date Received
- September 28, 2012
- Date of Event
- September 28, 2012
- Report Date
- September 28, 2012
- Manufacturer
- POLYMEDCO, INC.
- Product Code
- JPH
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MO, US
Narratives
Description of Event or Problem · 1
WHEN USING DEVICE, BLOOD SHOT OUT OF TOP OF PIPETTE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SEDIPLAST | TEST, ERYTHROCYTE SEDIMENTATION RATE | JPH | POLYMEDCO, INC. | SEDIPLAST WESTERGREN ESR SYSTEM | 0117283 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |