DCA SYSTEMS 2000/2000+

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 2010-06-14 for DCA SYSTEMS 2000/2000+ manufactured by Bayer Healthcare Llc.

Event Text Entries

[1542653] A medical technician was splashed in the eye with hemoglobin a1c reagent and pt sample when she attempted to remove a cartridge using a pair of scissors. The sample was reported to be from a pt with (b)(6). The technician was sent to the emergency room for follow up treatment. The technician was not wearing safety glasses at the time of the event.
Patient Sequence No: 1, Text Type: D, B5


[8618093] The technician was advised of proper technique for removing cartridges. Operator reference guide advises: "to remove cartridge - hold button down with right hand. With left hand, gently pull tab on cartridge to right to unlock. Pull upward, discarded cartridge to prevent injury and possible contamination to others".
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1217157-2010-00011
MDR Report Key1728305
Report Source07
Date Received2010-06-14
Date of Report2010-05-27
Date of Event2010-05-27
Device Manufacturer Date2007-01-01
Date Added to Maude2012-03-15
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 ContactMARK SMITH
Manufacturer Street2 EDGEWATER DR.
Manufacturer CityNORWOOD MA 02062
Manufacturer CountryUS
Manufacturer Postal02062
Manufacturer Phone7812693158
Manufacturer G1BAYER HEALTHCARE LLC
Manufacturer Street430 S BEIGER ST.
Manufacturer CityMISHAWAKA IN 46544
Manufacturer CountryUS
Manufacturer Postal Code46544
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameDCA SYSTEMS
Generic NameDCA SYSTEMS
Product CodeJIR
Date Received2010-06-14
Model Number2000/2000+
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBAYER HEALTHCARE LLC
Manufacturer Address430 S BEIGER ST. MISHAWAKA IN 46544 US 46544


Patients

Patient NumberTreatmentOutcomeDate
10 2010-06-14

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