MAUDE MDR 4824475

MDR report key
4824475
Report number
3003402518-2015-00003
Event key
0
Event type
3
Date of event
2015-04-14
Date received
2015-06-04
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Address
103 SEESTRASSE MAENNEDORF ZUERICH 8708 SZ
Phone
492-492-4922
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1FREEDOM EVO-2 150PIPETTING STATION FOR CLINICAL USETECAN SCHWEIZ AGJQW30031019Y Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12015-06-0401. O

Event Narratives#

D

Patient 1

A TECAN FIELD SVC ENGINEER REPORTED AN INJURY TO HIS SUPERVISOR AT TECAN US ON (B)(6) 2015. AN INTERNAL SAFETY REPORT WAS COMPLETED AND FORWARDED TO QA ON (B)(6) 2015. THE REPORT INDICATED AN INJURY TO A TECAN FIELD SVC ENGINEER ON SITE AT A CUSTOMER'S LABORATORY WORKING WITH AN EVO 150. WHILE WORKING ON THE PC BESIDE THE INSTRUMENT (LEFT SIDE), THE FSE OPENED THE SAFETY SHIELD. AS HE ATTEMPTED TO WALK PAST IT, THE SHIELD FELL DOWN AND SCRAPPED HIS FACE KNOCKING OFF THE SAFETY GLASSES HE HAD ON.

N

Patient 1

OPERATING MANUAL VERSION 7.4 DEMANDS THAT THE SAFETY SHIELDS HAS TO BE FULLY OPENED. IT CANNOT BE EXCLUDED THAT THE SAFETY SHIELD WAS NOT FULLY OPENED AND THEREFORE THE SAFETY SHIELD FELL DOWN. A DETERMINATION OF PRODUCT MALFUNCTION IS PENDING. TECAN IS WAITING FOR THE RETURN OF THE ORIGINAL GAS SPRINGS FOR EVAL. A F/U REPORT WILL BE SUBMITTED UPON COMPLETION OF EVAL. THE FIELD SVC ENGINEER DID NOT REQUIRE ANY BASIC FIRST AID OR FURTHER MEDICAL ATTENTION WHEN THE EVENT OCCURED. THE ENGINEER NOTICED A SCRATCH ON HIS HEAD WHEN HE RETURNED HOME AND REPORTED IT TO HIS SUPERVISOR AT A LATER DATE. THIS MDR IS FILED BASED ON SIMILAR OCCURRENCES IN THE PAST WHERE MORE SERIOUS INJURIES HAD OCCURRED.

N

Patient 1

THE FIELD SERVICE ENGINEER CONFIRMED AT THE LABORATORY SITE THAT THE OLD GAS SPRING HAD NOT ENOUGH FORCE TO HOLD THE SAFETY SHIELD IN THE UPRIGHT POSITION (180 DEGREES). THE NEW INSTALLED GAS SPRING AT THE CUSTOMER SITE WAS ABLE TO LIFT THE SAFETY SHIELD FROM THE 90 DEGREES POSITION TO 180 DEGREES POSITION WITHOUT OUTSIDE ASSISTANCE. THE AGED GAS SPRING (10 YEARS OLD) CONTRIBUTED TO THE EVENT . CURRENT VERSION OF TECAN'S PREVENTIVE MAINTENANCE CHECKLIST REQUIRES EXCHANGE OF GAS SPRINGS AFTER 3 YEARS. A MALFUNCTION WAS NOT CONFIRMED. THIS IS A MATERIAL AGING, WEAR ISSUE.