DIRECTCHECK QUALITY CONTROL DCJCPT-N

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 2014-04-22 for DIRECTCHECK QUALITY CONTROL DCJCPT-N manufactured by International Technidyne Corporation.

Event Text Entries

[4660971] Healthcare professional reports that an end user was cut on the top of her left thumb when squeezing the direct check quality control vial. The user was not using the provided protective sleeve at the time of the incident. The affected area was disinfected. Initial blood test results for hiv and hcv were negative. There was no report of serious injury. During follow up communications, the customer reported that the lab assistant's finger healed nicely.
Patient Sequence No: 1, Text Type: D, B5


[12065202] (b)(4). Conclusion - human factors issue. End user was not using the protective sleeve at the time of the injury. The directcheck protective sleeve is provided as a means to reduce probability of cuts. The instructions for use indicates use of protective sleeve is required when control vials are activated. Each package includes an insert containing a picture demonstrating the preferred technique to use during activation of the assembly. In addition, the itc website includes a video which illustrates the preferred technique to use during activation.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2250033-2014-00003
MDR Report Key3856474
Report Source05,06
Date Received2014-04-22
Date of Report2014-03-27
Date Mfgr Received2014-03-27
Device Manufacturer Date2013-10-01
Date Added to Maude2014-06-20
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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 FDA0
Event Location0
Manufacturer ContactELEANOR FOX
Manufacturer Street20 CORPORATE PLACE SOUTH
Manufacturer CityPISCATAWAY NJ 08854
Manufacturer CountryUS
Manufacturer Postal08854
Manufacturer Phone7325485700
Manufacturer G1INTERNATIONAL TECHNIDYNE CORP.
Manufacturer Street23 NEVSKY ST.
Manufacturer CityEDISON NJ 08820
Manufacturer CountryUS
Manufacturer Postal Code08820
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameDIRECTCHECK QUALITY CONTROL
Generic NamePLASMA, COAGULATION CONTROL
Product CodeGGN
Date Received2014-04-22
Catalog NumberDCJCPT-N
Lot NumberK3DNC011
Device Expiration Date2015-05-31
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerINTERNATIONAL TECHNIDYNE CORPORATION
Manufacturer AddressEDISON NJ 08820 US 08820


Patients

Patient NumberTreatmentOutcomeDate
10 2014-04-22

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