VP 2000 PROCESSOR 02J11-001

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 2014-10-03 for VP 2000 PROCESSOR 02J11-001 manufactured by Abbott Molecular, Inc..

Event Text Entries

[4948380] The abbott vp 2000 processor is a device designed to automate and standardize slide specimen processing and routine slide staining for the laboratory. The customer reported a slow small leak from a drain fitting of the water basin. The fse replaced the rinse tank assembly and restored the instrument to its fully operational condition. No injury was reported. There was no report of impact to patient management due to a delay in results.
Patient Sequence No: 1, Text Type: D, B5


[12248405] This medical device report (mdr) is submitted on the basis for potential harm should the malfunction recur. Water leaking on the floor has the potential to create a slippery floor surface with an associated harm of slipping or falling. Slipping and/or falling may lead to complicated fractures causing permanent injury. A follow-up mdr report will be submitted after an elevated complaint investigation concludes.
Patient Sequence No: 1, Text Type: N, H10


[37753106] The elevated complaint investigation (b)(4) for mdr 3005248192-2014-00061 included product evaluation (customer data review, installation/service history review and supplier information), quality data review (nonconformance review and labeling) and a complaint search. The investigation is summarized below: images attached to the complaints were reviewed. These images verified the presence of a broken and /or leaking water bath on the vp2000 processor ((b)(4)). Per a service history review, the complainant water baths were installed after (b)(6) 2014. The supplier of vp2000 processor was contacted and indicated that nothing had changed in manufacturing or suppliers to cause the increased number of complaints for the water bath. The abbott vp2000 processor operations manual 30-608384 rev c-january 2009 list no. (b)(4) was reviewed and determined to contain adequate instructions in regard to connecting drain tubing onto the barbed drain fitting attached to the water bath. It also provides instructions to drain the water bath by removing the standpipe on the drain fittings as weekly maintenance. A non-conformance review was performed for the vp2000 processor, list number (b)(4). Review of the search results did not reveal any issues related to water bath. Complaint history review showed that, over the last two years, the four investigated complaints (b)(4) and one additional complaint (b)(4) were found to be related to broken and/ or leaking rinse tank assemblies part number: 30-144175 associated with the drain fitting on the vp2000 processor. Product deficiency decision: based on this investigation, a product deficiency has been identified for the rinse tank assembly (part number: 30-144175) on the vp2000 processor. Since all vp2000 processor versions use the same water bath, vp2000 processor 100v, 117v, and 230v are affected. This investigation has determined that this part can leak deionized water. Medical evaluation concluded that a malfunction did occur, but if it were to recur, it would not be likely to cause or contribute to serious injury or death.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3005248192-2014-00061
MDR Report Key4141357
Report Source07
Date Received2014-10-03
Date of Report2014-09-05
Date of Event2014-09-05
Date Mfgr Received2014-11-04
Date Added to Maude2014-10-16
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 ContactJEAN LEETE
Manufacturer Street1300 EAST TOUHY AVENUE
Manufacturer CityDES PLAINES IL 600183315
Manufacturer CountryUS
Manufacturer Postal600183315
Manufacturer Phone2243617274
Manufacturer G1ABBOTT MOLECULAR, INC.
Manufacturer Street1300 EAST TOUHY AVENUE
Manufacturer CityDES PLAINES IL 60018331
Manufacturer CountryUS
Manufacturer Postal Code60018 3315
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameVP 2000 PROCESSOR
Generic NameSTAINER, TISSUE, AUTOMATED
Product CodeKEY
Date Received2014-10-03
Catalog Number02J11-001
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerABBOTT MOLECULAR, INC.
Manufacturer Address1300 EAST TOUHY AVENUE DES PLAINES IL 60018331 US 60018 3315


Patients

Patient NumberTreatmentOutcomeDate
10 2014-10-03

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