CYTOLYT SOLUTION CENTRIFUGE TUBE (30ML) 0200012 0236080

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2001-02-27 for CYTOLYT SOLUTION CENTRIFUGE TUBE (30ML) 0200012 0236080 manufactured by Cytyc Corp..

Event Text Entries

[18478933] In 2001 reporter called cytyc's technical service dept to report that one of his staff members accidentally splashed cytolyt solution into their eyes. The incident occurred when the employee was snapping the lid of the container closed and a small amount of cytolyt solution containing a sputum sample splashed into their eyes. Reporter had the employee flush their eyes with water for 15 minutes according to the instructions in the material safety data sheet (msds). He also stated that after flushing their eyes with water the employee did not experience any pain or other symptoms, but that the employee was referred to their employee health dept as a precaution. During a follow-up phone call to the customer in 2/01 reporter reiterated that the employee did not splash very much solution into their eyes and that their eyes were immediately flushed with water after the incident. The employee went to an optometrist who determined that no further medical attention was required.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1222780-2001-00002
MDR Report Key318172
Report Source05,06
Date Received2001-02-27
Date of Report2001-02-27
Date of Event2001-02-05
Date Added to Maude2001-03-05
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Manufacturer ContactDAN BRACCO
Manufacturer Street85 SWANSON RD
Manufacturer CityBOXBOROUGH MA 01719
Manufacturer CountryUS
Manufacturer Postal01719
Manufacturer Phone9782663103
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCYTOLYT SOLUTION CENTRIFUGE TUBE (30ML)
Generic NameTRANSPORT MEDIUM FOR CYTOLOGIC SAMPLES
Product CodeIFB
Date Received2001-02-27
Model Number0200012
Catalog Number0236080
Lot NumberNI
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key307696
ManufacturerCYTYC CORP.
Manufacturer Address85 SWANSON RD. BOXBOROUGH MA 01719 US
Baseline Brand NameCYTOLYT SOLUTION CENTRIFUGE TUBE (30ML)
Baseline Generic NameCYTOLYT TUBE
Baseline Model No0200012
Baseline Catalog No0236080
Baseline IDNA
Baseline Device FamilySOLUTIONS (NON-GYN)
Baseline Shelf Life ContainedY
Baseline Shelf Life [Months]24
Baseline PMA FlagN
Baseline 510K PMNN
Baseline PreamendmentN
Baseline TransitionalN
510k ExemptY


Patients

Patient NumberTreatmentOutcomeDate
101. Other; 2. Required No Informationntervention 2001-02-27

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