COULTER 5C CELL CONTROL 7547124

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,05,06 report with the FDA on 2011-09-16 for COULTER 5C CELL CONTROL 7547124 manufactured by Beckman Coulter, Inc..

Event Text Entries

[2302994] The customer reported that a single coulter 5c cell control vial leaked through the rubber stopper and plastic cap while on the analyzer's rocker bed. The potential for biohazard exposure with the reported incident was present. The operator was wearing personal protective equipment (ppe) at the time of the incident. There was no exposure to mucous membranes or open lesions. No injuries occurred and medical attention was not sought as a result of this event. The material safety data sheet (msds) was not reviewed; however, it is readily available. The lab's exposure control or risk management plans are in place. No reports of death or serious injury, and no affect to operator safety as a result of this event. The product was replaced at time of event.
Patient Sequence No: 1, Text Type: D, B5


[9350027] Per labeling, beckman coulter, inc. Urges its customers to comply with all national health and safety standards such as the use of barrier protection. This may include, but it is not limited to, protective eyewear, gloves, and suitable lab attire when operating or maintaining this or any other automated lab analyzer. The field service engineer inspected the instrument and verified the instrument's operation. There were no anomalies noted. Based on available info, the root cause for the vial leaking is unk. This reportable event was identified during a retrospective review conducted between jan. 1, 2008 and oct. 23, 2010 of complaints for add'l reportable events.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1061932-2011-01454
MDR Report Key2267010
Report Source01,05,06
Date Received2011-09-16
Date of Report2009-02-06
Date of Event2009-02-05
Date Mfgr Received2009-02-06
Device Manufacturer Date2008-12-01
Date Added to Maude2012-06-26
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationMEDICAL TECHNOLOGIST
Health Professional3
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 COULTER, INC.
Manufacturer Street11800 SW 147TH AVE.
Manufacturer CityMIAMI FL 33196
Manufacturer CountryUS
Manufacturer Postal Code33196
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCOULTER 5C CELL CONTROL
Product CodeJPK
Date Received2011-09-16
Model NumberNA
Catalog Number7547124
Lot Number885500
ID NumberNA
Device Expiration Date2009-02-06
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerBECKMAN COULTER, INC.
Manufacturer Address11800 SW 147TH AVE. MIAMI FL 33196 US 33196


Patients

Patient NumberTreatmentOutcomeDate
10 2011-09-16

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