ULTRIO PLUS 302573

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 2014-11-26 for ULTRIO PLUS 302573 manufactured by Hologic Incorporated.

Event Text Entries

[5294115] A (b)(6) operator in (b)(6) was injured on the right hand with a tip during the emptying of a tigris waste (diti bag) bag. The operator disinfected the injury and visited the on-site doctor who gave her a post exposure prophylaxis. The operator, 10 days after the incident, did all the tests required to verify a possible infection; so far, everything resulted negative.
Patient Sequence No: 1, Text Type: D, B5


[12584100] The event occurred while the operator was removing waste bags from the tigris instrument after running ultrio plus assays ((b)(4)). Although the performance of the assay is not in question, hologic is investigating the occurrence further to determine if there is something the operator did that contributed to the event and/or if the waste bags somehow contributed to the event. Additional information will be provided when available.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2024800-2014-00005
MDR Report Key4281158
Report Source07
Date Received2014-11-26
Date of Report2014-11-25
Date of Event2014-10-19
Date Mfgr Received2014-11-03
Date Added to Maude2014-11-26
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactRON DOMINGO
Manufacturer Street10210 GENETIC CENTER DRIVE
Manufacturer CitySAN DIEGO CA 92121
Manufacturer CountryUS
Manufacturer Postal92121
Manufacturer Phone8584108167
Single Use0
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameULTRIO PLUS
Generic NameIN VITRO DIAGNOSTIC ASSAY
Product CodeLSL
Date Received2014-11-26
Catalog Number302573
Lot NumberML 635124
ID NumberML 636815
Device Expiration Date2015-09-15
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerHOLOGIC INCORPORATED
Manufacturer Address10210 GENETIC CENTER DRIVE SAN DIEGO CA 92121 US 92121


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2014-11-26

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