FDA Adverse Event Other Summary report: N

HEMOCHRON SIGNATURE INSTRUMENT/ACT-LR ASSAY

MDR report key: 979475 · Received January 11, 2008

Report

Report Number
2248721-2008-00003
Event Type
Other
Date Received
January 11, 2008
Report Date
January 11, 2008
Manufacturer
INTERNATIONAL TECHNIDYNE CORP.
Product Code
JBP
PMA / PMN Number
K960749
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

MANUFACTURER CONCLUSION - MANUFACTURER AWAITING PRODUCT RETURN. SEE SCANNED PAGES.

Description of Event or Problem · 1

DEVICE 3 OF 3 - MULTIPLE DEVICE REPORT. CUSTOMER REPORTED 6 OCCURENCES OF 'CRANIAL BLEED' OVER A YEAR PERIOD AND INACCURACY OF HEMOCHRON SIGNATURE ACT-LR RESULTS. CUSTOMER NOT ABLE TO PROVIDE FURTHER INFO REGARDING PATIENT OUTCOMES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HEMOCHRON SIGNATURE INSTRUMENT/ACT-LR ASSAY HEMOCHRON SIGNATURE ACT-LR JBP INTERNATIONAL TECHNIDYNE CORP. HE-SIG ASSAY/UNAVAILABLE

Patients

Seq Age Sex Outcome Treatment
1 UNK Other