BREATHTEK UBT COLLECTION KIT
Received Jan 17, 2007 · Event occurred Jan 11, 2007
Report 1060925-2007-00002 · MDR key 2894830
Device
Generic name
Breathtek Ubt Collection Kit
Manufacturer
Meretek Diagnostics, Inc.Model number
NACatalog number
8207
Lot number
NA
Product problems
- Insufficient Device Problem Information
Patient
22 YR
- Tingling
- Other (for use when an appropriate patient code cannot be identified)
- Palpitations
Narrative
Description of Event or Problem
A FEW MINUTES AFTER THE PT DRANK THE PRANACTIN CITRIC DRUG SOLUTION AS PART OF THE BREATHTEK UBT H. PYLORI TEST, SHE REPORTED DISCOMFORT AND NUMBNESS IN LIMBS, SHE WAS FLUSHED AND WAS HAVING HEART PALPITATIONS, AND WAS FEELING ANXIOUS, THE BACK OF HER FELT HOT AND COLD OVERALL.
Additional Manufacturer Narrative
MANUFACTURING BACKGROUND INFO. MERETEK CONTRACTS OUT THE MANUFACTURE OF THE BREATHTEK UBT COLLECTION KIT, WHICH OCCURS IN THREE SEPARATE PHASES: PHASE 1 - MANUFACTURE OF THE BULK GRANULATED PRANACTIN -CITRIC DRUG COMPONENT. THIS PART OF THE MANUFACTURE IS PERFORMED BY VPS CORPORATION. PHASE II - PACKAGING THE BULK PRANACTIN CITRIC DRUG COMPONENT INTO POUCHES. THIS PART OF THE MANUFACTURE IS PERFORMED BY CARDINAL HEALTH. PHASE III - ASSEMBLY OF THE KIT COMPONENTS INTO THE BREATHTEK UBT COLLECTION KIT. THIS ASSEMBLY IS PERFORMED BY HERITAGE LABS INTERNATIONAL, LLC. THE FINISHED BREATHTEK UBT COLLECTION KITS ARE DISTRIBUTED BY (B)(4) TO MERETEK DIAGNOSTICS, INC. CLIENTS.
Remedial action
- Other