MAUDE MDR 1120823

MDR report key
1120823
Report number
3002769706-2008-00005
Event key
0
Event type
3
Date of event
2008-07-17
Date received
2008-08-14
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Contact
ELIZABETH FRITZ
Address
100 RODOLPHE ST DURHAM NC 27712 US
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1BACT/ALERT MB CULTURE BOTTLEMICROBIAL GROWTH MONITORBIOMERIEUX, INC.JTA2510111019790R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12008-08-140

Event Narratives#

D

Patient 1

A BACT/ALERT MB BLOOD CULTURE BOTTLE (GLASS) WAS FOUND BROKEN IN THE INCUBATOR. THE CULTURE WAS NEGATIVE FOR MICROBACTERIUM, BUT WAS POSITIVE FOR ENTEROCOCCUS.

N

Patient 1

NO ADVERSE EVENT WAS REPORTED AS A RESULT OF THIS BROKEN BOTTLE. THE RACKS WERE CLEANED WITH ALCOHOL AND A 10% SOLUTION OF BLEACH. THERE IS A POTENTIAL FOR AN ADVERSE EVENT WERE THIS TO RECUR SINCE THE SPILLED SAMPLE COULD AEROSOLIZE, SIGNIFICANTLY INCREASING THE LIKELIHOOD OR ORGANISM TRANSMISSION.