WRIGHT'S STAIN 7547177

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 2011-01-30 for WRIGHT'S STAIN 7547177 manufactured by Beckman Coulter, Inc..

Event Text Entries

[20215247] A customer reported to beckman coulter inc. (bci) on (b)(4) 2011 that the wright's stain bottle was leaking at the seam there is an exposure control plan in place at the site. The damaged product was properly disposed of in biohazard drums by the lab personnel. The customer was wearing appropriate ppe. There was no exposure, or any contact to eye or skin, open wounds or mucous membranes to the wright's stain.
Patient Sequence No: 1, Text Type: D, B5


[20594997] Replacement product was sent on (b)(4) 2011. Root cause is unknown.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1061932-2011-00042
MDR Report Key1973436
Report Source07
Date Received2011-01-30
Date of Report2011-01-03
Date of Event2011-01-03
Date Mfgr Received2011-01-03
Device Manufacturer Date2010-01-04
Date Added to Maude2012-01-30
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMS. NORA ZEROUNIAN
Manufacturer Street250 S. KRAEMER BLVD.
Manufacturer CityBREA CA 92821
Manufacturer CountryUS
Manufacturer Postal92821
Manufacturer Phone7149613634
Manufacturer G1BECKMAN CULTER INC.
Manufacturer Street11800 SW 147TH AVENUE
Manufacturer CityMIAMI FL 33196
Manufacturer CountryUS
Manufacturer Postal Code33196
Single Use0
Remedial ActionRL
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameWRIGHT'S STAIN
Generic NameWRIGHT"S STAIN
Product CodeIAF
Date Received2011-01-30
Catalog Number7547177
Lot Number611463
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerBECKMAN COULTER, INC.
Manufacturer Address11800 SW 147TH AVENUE MIAMI FL 33196250 US 33196 2500


Patients

Patient NumberTreatmentOutcomeDate
10 2011-01-30

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