FREEDOM EVO 150 10641150

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2013-05-30 for FREEDOM EVO 150 10641150 manufactured by Tecan Schweiz Ag.

Event Text Entries

[3529829] Laboratory employee was performing daily maintenance on instrument when the front panel door fell from the open position with the edge of the door striking employee's forehead just above the eye. Employee had a small gash that bled and was treated with basic first aid (cleaning) and application of antibiotic cream and band aid). No further medical attention was required. The employee indicated the door had fallen in the past but no one was injured.
Patient Sequence No: 1, Text Type: D, B5


[10831145] A field service representative (fse) evaluated the instrument at the customer's laboratory on (b)(4) 2013. The fse was unable to reproduce the event. When the front panel door was lifted all the way open and secured it did not fall. If the door was pushed halfway up, it fell. A gas spring is attached to the door panel and the instrument. The spring aids in maintaining panel in an up position and in controlling the descent. The gas spring was replaced as a precaution and returned to the manufacturer for further evaluation. The gas spring was tested at (b)(4) manufacturing facility and was found to meet specifications. There is no evidence of malfunction.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3003402518-2013-00002
MDR Report Key3144982
Report Source05
Date Received2013-05-30
Date of Report2013-05-30
Date of Event2013-04-30
Date Mfgr Received2013-04-30
Date Added to Maude2013-06-12
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 ContactDR ALEXANDER KRIEG
Manufacturer Street103 SEESTRASSE
Manufacturer CityMAENNEDORF ZUERICH 8708
Manufacturer CountrySZ
Manufacturer Postal8708
Manufacturer Phone449228560
Single Use3
Remedial ActionRP
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameFREEDOM EVO 150
Generic NamePIPETTING STATION FOR CLINICAL USE
Product CodeJQW
Date Received2013-05-30
Returned To Mfg2013-05-01
Model NumberEVO 150
Catalog Number10641150
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerTECAN SCHWEIZ AG
Manufacturer AddressMAENNEDORF ZUERICH SZ


Patients

Patient NumberTreatmentOutcomeDate
10 2013-05-30

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