GS HIV-1 WESTERN BLOT 32508

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2008-06-30 for GS HIV-1 WESTERN BLOT 32508 manufactured by Bio-rad Laboratories.

Event Text Entries

[897681] Bio-rad laboratories rec'd a call from the center for disease control in (b) (6), requesting info on the inactivation process for (b) (6) western blot low positive control. The customer was informed that the control material for the (b) (6) western blot is heat inactivated for 30 min at 56 degrees celsius and is certified to be non-reactive for (b) (6) and (b) (6) antibodies, which is the standard procedure for inactivation and the process has been validated. The caller stated that while discarding an old kit of (b) (6) western blot, a technician at cdc was splashed in the eye with the western blot low positive control. The technician, at the time, was wearing eye protection, but it did not seal around the face and the liquid splashed over the rim of the glasses. The technician used the eye wash station to flush the material from their eyes. At that time, the technician requested to be seen by a physician and was subsequently tested for (b) (6). Results of the testing are not known by bio-rad. The customer was reluctant to give any further info about future follow-up for fear it could compromise the technician's confidentiality.
Patient Sequence No: 1, Text Type: D, B5


[8085449] The (b) (6) western blot package insert states on page 4, warnings for users, #4 the following "no known test method can offer complete assurance that infectious agents are absent. Therefore, all human blood derivatives, reagents and human specimens should be handled as if capable of transmitting infectious disease". Bio-rad laboratories is filing this report solely based on the statement in the (b) (6) western blot package insert and not because of any known defect of the product.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3022521-2008-00003
MDR Report Key1068860
Report Source05
Date Received2008-06-30
Date of Report2008-06-30
Date of Event2008-06-04
Date Mfgr Received2008-06-04
Date Added to Maude2009-11-20
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactCHRISTOPHER BENTSEN
Manufacturer Street6565 185TH AVE., N.E.
Manufacturer CityREDMOND WA 98052
Manufacturer CountryUS
Manufacturer Postal98052
Manufacturer Phone4254981709
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameGS HIV-1 WESTERN BLOT
Generic NameHUMAN IMMUNODEFICIENCY VIRUS TYPE 1
Product CodeMVW
Date Received2008-06-30
Catalog Number32508
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBIO-RAD LABORATORIES
Manufacturer AddressREDMOND WA US


Patients

Patient NumberTreatmentOutcomeDate
10 2008-06-30

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