THERMOSCIENTIFIC FORMA STERICULT INCUBATOR 3310

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 2012-08-09 for THERMOSCIENTIFIC FORMA STERICULT INCUBATOR 3310 manufactured by Thermofisher Scientific (asheville) Llc.

Event Text Entries

[16730187] General purpose incubators are class i, 510 (k) exempt, except for (b)(4) (records) and (b)(4) (complaints). A complaint related to an injury was received on (b)(4) 2009, alleging that an incubator's outer door separated from the device during use and, while opened, fell against the lab tech. The complaint indicated that the tech had some pain and soreness on the right side of the user's face. Based on this info in 2009, there was no allegation of serious injury. In (b)(6) 2012, the mfr was notified of a potential claim arising out of the 2009 incident. On (b)(4) 2012, the mfr received more detailed info regarding the claim. Specifically, that the claimant had sustained a right shoulder injuries and bruises with a "20% schedule loss of use of right arm" as well as some facial bruising. The event was initially described by the end user in 2009: "yesterday, around 11:30 am when i was going to place some cell lines in the top incubator, the incubator door fell on my face at an angle and the corner of it landed on my eye glasses. Quickly, i got hold of the door with my right hand, so it would not have landed on one of my foot, but i was still holding the cell lines (about 8 flasks) with my left hand. I had to either release the incubator door or the flasks, but i let go of the incubator door because it was getting too heavy. I turned away from the incubator and took a few steps towards the entrance door and then i let go the incubator door. I went occupational health and safety and they recommended that i go to the hospital. Before i went to the hospital, i noticed that the incubator door had broke off at the hinges. I feel ok, but i feel pain and soreness on the right side of my face. I plan to see a doctor today. "
Patient Sequence No: 1, Text Type: D, B5


[17086603] A complaint investigation made in 2008 for broken hinges that had no injuries reported, drove a product improvement to upgrade all units with the suspect hinge to stronger stainless steel hinges. This change was implemented in (b)(4) 2009, prior to this incident. In addition, a technical service bulletin was issued to the field service staff in (b)(4) 2009, and updated in (b)(4) 2012, providing instructions for replacement of zinc hinges to stainless steel. Work to characterize the root cause of the failure through both internal and external lab analyses have proved inconclusive, but it is believed to be related to undetermined and undisclosed variation in the production process of the hinges by the hinge mfr. Note: no hinge breakage reports have been received for units with the new stainless steel hinges.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1523845-2012-00001
MDR Report Key2702239
Report Source07
Date Received2012-08-09
Date of Report2012-07-27
Date of Event2009-09-09
Date Mfgr Received2009-09-09
Device Manufacturer Date2004-03-24
Date Added to Maude2012-11-29
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactROBERT HUNDLEY
Manufacturer Street401 MILLCREEK RD.
Manufacturer CityMARIETTA OH 45750
Manufacturer CountryUS
Manufacturer Postal45750
Manufacturer Phone7403734763
Single Use3
Remedial ActionMA
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameTHERMOSCIENTIFIC FORMA STERICULT INCUBATOR
Product CodeJTQ
Date Received2012-08-09
Returned To Mfg2009-09-25
Model Number3310
Catalog Number3310
OperatorOTHER
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerTHERMOFISHER SCIENTIFIC (ASHEVILLE) LLC
Manufacturer Address401 MILLCREEK ROAD MARIETTA OH 45750 US 45750


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2012-08-09

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