APTIMA SPECIMEN COLLECTION KIT 301041-01

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-12-15 for APTIMA SPECIMEN COLLECTION KIT 301041-01 manufactured by Hologic Incorporated.

Event Text Entries

[33593531] An incident at (b)(4) ob-gyn occurred while a nurse was collecting sample for the aptima combo 2 swab specimen collection kit (pn: 301041-01). The nurse was holding an open swab collection tube for the doctor. The tube was hit with her hand which ejected material from the tube and into her eye. The aptima tube did not contain any patient sample. The nurse immediately flushed her eyes with water. It was noted that her eye was red and irritated after it was flushed. A copy of the safety data sheet was provided via the hologic website. The nurse was seen by an eye doctor who applied antibiotic ointment and put an eye patch on the nurse for 24 hours. Upon following up with the customer, she has indicated that her eye has cleared up and there are no visual indication of injury that remains.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2024800-2015-00006
MDR Report Key5299566
Date Received2015-12-15
Date of Report2015-12-15
Date of Event2015-11-17
Date Mfgr Received2015-11-17
Date Added to Maude2015-12-15
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 FDA3
Event Location3
Manufacturer ContactRON DOMINGO
Manufacturer Street10210 GENETIC CENTER DRIVE
Manufacturer CitySAN DIEGO CA 92121
Manufacturer CountryUS
Manufacturer Postal92121
Manufacturer Phone8584108167
Manufacturer G1HOLOGIC INC.
Manufacturer Street10210 GENETIC CENTER DRIVE
Manufacturer CitySAN DIEGO CA 92121
Manufacturer CountryUS
Manufacturer Postal Code92121
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameAPTIMA SPECIMEN COLLECTION KIT
Generic NameIN-VITRO DIAGNOSTIC ASSAY
Product CodeLSL
Date Received2015-12-15
Catalog Number301041-01
Device AvailabilityN
Device Eval'ed by MfgrN
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 2015-12-15

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