MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 1999-05-28 for MP READACRIT DUAL FUNCTION CENTRIFUGE 420593 manufactured by Becton Dickinson.
[21584764]
While using the device, broken glass from some tubes were spun out of a small opening in the centrifuge lid. Some of the debris hit an operator in the facial area. The operator has incurred some unspecified medical expenses.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 1119779-1999-00003 |
MDR Report Key | 225472 |
Report Source | 05 |
Date Received | 1999-05-28 |
Date of Report | 1999-04-29 |
Date of Event | 1999-03-25 |
Date Mfgr Received | 1999-04-29 |
Device Manufacturer Date | 1981-01-01 |
Date Added to Maude | 1999-06-02 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 0 |
Reporter Occupation | RISK MANAGER |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 0 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | MP READACRIT DUAL FUNCTION CENTRIFUGE |
Generic Name | CENTRIFUGE, HEMATOCRIT |
Product Code | GKG |
Date Received | 1999-05-28 |
Model Number | NA |
Catalog Number | 420593 |
Lot Number | NA |
ID Number | NA |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Eval'ed by Mfgr | R |
Implant Flag | N |
Date Removed | A |
Device Sequence No | 1 |
Device Event Key | 218655 |
Manufacturer | BECTON DICKINSON |
Manufacturer Address | 7 LOVETON CIRCLE SPARKS MD 21152 US |
Baseline Brand Name | MP READACRIT DUAL FUNCTION CENTRIFUGE |
Baseline Generic Name | CENTRIFUGE, HEMATOCRIT |
Baseline Model No | NA |
Baseline Catalog No | 420593 |
Baseline ID | SERIAL # 125154 |
Baseline Device Family | CENTRIFUGE, EQUIPMENT & SUPPLIES |
Baseline Shelf Life Contained | * |
Baseline Shelf Life [Months] | NA |
Baseline PMA Flag | N |
Baseline 510K PMN | N |
Baseline Preamendment | Y |
Baseline Transitional | N |
510k Exempt | N |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Required No Informationntervention | 1999-05-28 |