EVO-2 200 10641202

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 99 report with the FDA on 2014-04-23 for EVO-2 200 10641202 manufactured by Tecan Schweiz.

Event Text Entries

[18933301] A lab employee was injured reaching into the freedom evo 200 instrument while instrument was running on (b)(6) 2014. The event was reported to tecan on (b)(6) 2014 with a request to re-engage the door locks. The employee received a puncture to his finger from the fixed tip dispensing needles on the liquid handling arm. The finger bled and employee was initially treated by a corporate nurse. An internal safety incident was filed. No add'l info regarding treatment or the seriousness of injury was shared with tecan. The instrument was processing pt samples at the time of the incident. The door locks were disables on the instrument.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1037985-2014-00001
MDR Report Key3795499
Report Source99
Date Received2014-04-23
Date of Report2014-04-23
Date of Event2014-03-28
Date Facility Aware2014-04-02
Report Date2014-04-23
Date Reported to FDA2014-04-23
Date Reported to Mfgr2014-04-02
Date Added to Maude2014-05-08
Event Key0
Report Source CodeDistributor report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer Street4022 STIRRUP CREEK RD.
Manufacturer CityRESEARCH TRIANGLE PARK NC 27709
Manufacturer CountryUS
Manufacturer Postal27709
Manufacturer G1TECAN U.S.
Manufacturer Street4022 STIRRUP CREEK RD.
Manufacturer CityRESEARCH TRIANGLE PARK NC 27709
Manufacturer CountryUS
Manufacturer Postal Code27709
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameEVO-2 200
Generic NamePIPETTING STATION FOR CLINICAL USE
Product CodeJQW
Date Received2014-04-23
Catalog Number10641202
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Age8 YR
Device Sequence No1
Device Event Key0
ManufacturerTECAN SCHWEIZ
Manufacturer AddressMAENNEDORF ZUERICH SZ


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2014-04-23

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