MAUDE MDR 3625097

MDR report key
3625097
Report number
1119779-2014-00008
Event key
0
Event type
3
Date of event
2014-01-17
Date received
2014-02-05
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
100
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Contact
CHARLOTTE DANNENFELSER
Address
7 LOVETON CIR. SPARKS MD 21152 US
Phone
410-410-4103
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1AFFIRM VPIII AMBIENT TEMPERATURE TRANSPORTBECTON, DICKINSONLIO4462553038199R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12014-02-0501. R

Event Narratives#

D

Patient 1

CUSTOMER REPORTED A MINOR INJURY WHILE RUNNING A PT SAMPLE ON THE AFFIRM ASSAY. A TECH PUNCTURED HER FINGER ON A GLASS SHARD INSIDE THE SPECIMEN TUBE. THE WOUND REQUIRED BASIC FIRST AID AND THE TECH WILL RECEIVED BASELINE TESTING.

N

Patient 1

THE AFFIRM ATTS COLLECTION KIT IS USED TO STABILIZE THE NUCLEIC ACID OF CANDIDA SPECIES, GARDNERELLA VAGINALIS, AND TRICHOMONAS VAGINALIS DURING SPECIMEN TRANSPORT AT AMBIENT TEMPERATURE (15-30 DEGREES CELSIUS) OR (2-8 DEGREES CELSIUS) FOR UP TO 72H. BD DETERMINED THAT IN THIS SITUATION THAT THE CUSTOMER DID NOT FOLLOW THE TESTING PROCEDURE. PER TECHNICAL SVS, THE CUSTOMER OPENED THE TIP OF THE PLASTIC DROPPER WHEN DISPENSING THE ATTS SOLUTION INTO THE SAMPLE TUBE. THIS ALLOWED THE GLASS TO BE POURED INTO THE SAMPLE TUBE. (B)(4) NO CORRECTIVE ACTION WILL BE INITIATED AT THIS TIME. BD WILL CONTINUE TO MONITOR FOR TRENDS.