IMMUFUGE 569

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1992-07-10 for IMMUFUGE 569 manufactured by Dade/baxter.

Event Text Entries

[1912] A lab technologist was using the dade/baxter immufuge when a glass vial of blood broke in the centrifuge and glass flew out of the holes in the lid. The glass hit the standing technologist's apron, but did not penetrate any skin. Upon investigation we noted two white retaining clips shattered and another cracked. Glass fragments were ejected through the open slots in the lid and deflected off the plastic cap. Had the tech. Been sitting as would be customery, the fragments would have been at eye level. Unit is being returned to mfg. For further evaluation. Device not labeled for single use. Patient medical status prior to event: invalid data. There was not multiple patient involvement. Device serviced in accordance with service schedule. Date last serviced: 01-sep-91. Service provided by: independent service organization. Service records available. No imminent hazard to public health claimed. Device used as labeled/intended. Device was evaluated after the event. Method of evaluation: actual device involved in incident was evaluated, electrical tests performed, mechanical tests performed, visual examination. Results of evaluation: design, material degradation/deterioration. Conclusion: device failure occurred and was related to event, software/firmware contributed to event. Certainty of device as cause of or contributor to event: yes. Corrective actions: use of all similar devices stopped temporarily, inserviced by biomedical engineering dept. Staff. The device was not destroyed/disposed of.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number4194
MDR Report Key4194
Date Received1992-07-10
Date of Report1992-01-31
Date of Event1992-01-22
Date Facility Aware1992-01-22
Report Date1992-01-31
Date Reported to Mfgr1992-01-23
Date Added to Maude1993-05-17
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameIMMUFUGE
Generic NameCENTRIFUGE
Product CodeKSO
Date Received1992-07-10
Model Number569
ID NumberS07003
OperatorOTHER HEALTH CARE PROFESSIONAL
Device AvailabilityY
Implant FlagN
Device Sequence No1
Device Event Key3927
ManufacturerDADE/BAXTER


Patients

Patient NumberTreatmentOutcomeDate
101. Other 1992-07-10

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