CUVETTE, 5 X 5 X 30 MM 758223

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,05,07 report with the FDA on 2012-10-29 for CUVETTE, 5 X 5 X 30 MM 758223 manufactured by Beckman Coulter, Inc..

Event Text Entries

[2943000] Bec field service engineer (fse) sustained a minor cut on his finger while he was cleaning the cuvette. The fse reported that the cuvette broke while he was cleaning the cuvette. The fse indicated the cuvette did not break when he removed the cuvette from the reaction wheel of the unicel dxc 800 synchron system. The fse indicated he was wearing appropriate personal protective equipment and used proper cuvette removal tool during the cuvette maintenance. The fse received proper treatment immediately after the injury with necessary vaccinations. Blood test was performed and the results were normal.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2050012-2012-01777
MDR Report Key2807607
Report Source01,05,07
Date Received2012-10-29
Date of Report2012-10-03
Date of Event2012-09-28
Date Mfgr Received2012-10-03
Date Added to Maude2012-10-31
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 ContactMS. DUNG NGUYEN
Manufacturer Street250 S. KRAEMER BLVD.
Manufacturer CityBREA CA 92821
Manufacturer CountryUS
Manufacturer Postal92821
Manufacturer Phone7149613634
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCUVETTE, 5 X 5 X 30 MM
Generic NameCONTAINER, SPECIMEN, NON-STERILE
Product CodeNNI
Date Received2012-10-29
Catalog Number758223
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerBECKMAN COULTER, INC.
Manufacturer Address250 S. KRAEMER BOULEVARD BREA CA 92821623 US 92821 6232


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2012-10-29

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