CX TOTAL/DIRECT BILIRUBIN CALIBRATOR N/A 465915

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 2010-12-20 for CX TOTAL/DIRECT BILIRUBIN CALIBRATOR N/A 465915 manufactured by Beckman Coulter Inc..

Event Text Entries

[1681891] A customer contacted beckman coulter inc. (bci) stating that a lab technician cut her finger while handling an opened direct bilirubin (dbil) calibrator ampule vial. The lab technician was not wearing gloves as she opened the ampule vial that was wrapped in parafilm. The lab technician will do a baseline monitor for 6 weeks and 3 months testing for (b)(6).
Patient Sequence No: 1, Text Type: D, B5


[8878498] The bci hotline advised the customer that bci makes every attempt to make sure no infectious material is in the contents. The bci hotline forwarded the dbil calibrator msds to the customer.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2050012-2010-01689
MDR Report Key1932619
Report Source05
Date Received2010-12-20
Date of Report2010-11-19
Date of Event2010-11-19
Date Mfgr Received2010-11-19
Date Added to Maude2012-01-23
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMS NORA ZEROUNIAN
Manufacturer Street250 S KRAEMER BOULEVARD
Manufacturer CityBREA CA 92821
Manufacturer CountryUS
Manufacturer Postal92821
Manufacturer Phone7149613634
Manufacturer G1BECKMAN COULTER INC.
Manufacturer Street250 S KRAEMER BOULEVARD
Manufacturer CityBREA CA 92821
Manufacturer CountryUS
Manufacturer Postal Code92821
Single Use3
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameCX TOTAL/DIRECT BILIRUBIN CALIBRATOR
Generic NameDIRECT BILIRUBIN CALIBRATOR
Product CodeJIS
Date Received2010-12-20
Model NumberN/A
Catalog Number465915
Lot NumberNOT LOT SPECIFIC
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerBECKMAN COULTER INC.
Manufacturer Address250 S KRAEMER BOULEVARD BREA CA 92821 US 92821


Patients

Patient NumberTreatmentOutcomeDate
10 2010-12-20

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