BACTEC LYTIC/10 ANAEROBIC/F MEDIUM 442265

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 2009-07-30 for BACTEC LYTIC/10 ANAEROBIC/F MEDIUM 442265 manufactured by Bd Caribe, Ltd..

Event Text Entries

[1114933] A blood culture vial was broken during removal from the hospital's bactec instrument. The technician was splashed with blood and culture media in the face. She was wearing gloves and a lab coat but was not wearing safety glasses. Her face and eyes were run through running water for a minute and she was sent to employee health for follow up.
Patient Sequence No: 1, Text Type: D, B5


[8351234] Conversation with the technician revealed that she was pulling a positive blood culture from the top instrument in one of the top racks. She is short in stature, so when she pulled on the bottle it splashed down onto her face, eyes and lab coat. A gram stain was done on the bottle with no organisms seen and no growth was observed from the subculture. The pt tested negative for (b)(6) in (b)(6). Technician indicated employee health drew blood and ran tests. No further test results or treatment details have been provided. No additional investigation regarding the culture bottle could be conducted due to the inability to retrieve a lot number of the broken bactec blood culture vial. No returns are received due to the nature of the complaint. Bd will continue to educate the customer concerning proper handling of bactec bottles and any breakage that may occur. Bd will continue to closely monitor this type of issue.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1119779-2009-00007
MDR Report Key1426307
Report Source05
Date Received2009-07-30
Date of Report2009-07-29
Date of Event2009-07-06
Date Mfgr Received2009-07-06
Date Added to Maude2011-03-29
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 ContactJAMES TILLMAN
Manufacturer Street7 LOVETON CIR.
Manufacturer CitySPARKS MD 21152
Manufacturer CountryUS
Manufacturer Postal21152
Manufacturer Phone4103164054
Manufacturer G1BD CARIBE, LTD.
Manufacturer StreetVICKS DR., LOT# 6
Manufacturer CityCAYEY PR 00737
Manufacturer CountryUS
Manufacturer Postal Code00737
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBACTEC LYTIC/10 ANAEROBIC/F MEDIUM
Product CodeJSL
Date Received2009-07-30
Catalog Number442265
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerBD CARIBE, LTD.
Manufacturer AddressCAYEY PR US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2009-07-30

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