BD FACS SAMPLE PROCESSOR SP-1 341173

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 2004-09-10 for BD FACS SAMPLE PROCESSOR SP-1 341173 manufactured by Bd Biosciences.

Event Text Entries

[15447864] This incident occurred during a routine service call. A field service engineer(fse) was performing a sp-1 probe change. The fse disposing of the contaminated probe. This probe was supposed to be placed in a biohazard container, but the fse tried to place the contaminated probe into the packaging of the new probe before disposing of it. Upon doing this the fse scratched their finger superficially with the old contaminated probe. The fse stated,"why was i so stupid to take the effort to put the tubing over the probe if it was for disposal. A needle is a needle, i should have thrown it away. " this event happened in a hiv-specialized institute.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2916837-2004-00001
MDR Report Key543302
Report Source07
Date Received2004-09-10
Date of Report2004-09-09
Date of Event2004-08-11
Date Mfgr Received2004-08-11
Date Added to Maude2004-09-15
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 ContactDIANE BROOKS-SMITH
Manufacturer Street2350 QUME DRIVE
Manufacturer CitySAN JOSE CA 95131
Manufacturer CountryUS
Manufacturer Postal95131
Manufacturer Phone4089546307
Manufacturer G1BD BIOSCIENCES
Manufacturer Street2350 QUME DRIVE
Manufacturer CitySAN JOSE CA 95131
Manufacturer CountryUS
Manufacturer Postal Code95131
Single Use3
Remedial ActionPM
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameBD FACS SAMPLE PROCESSOR SP-1
Generic NameAPPARATUS AUTOMATED BLOOD CELL DILUTING
Product CodeGKH
Date Received2004-09-10
Model NumberSP-1
Catalog Number341173
Lot NumberNA
ID NumberNA
OperatorOTHER
Device AvailabilityN
Device AgeNA
Device Eval'ed by MfgrR
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key532677
ManufacturerBD BIOSCIENCES
Manufacturer Address2350 QUME DR. SAN JOSE CA 95131 US
Baseline Brand NameBD PACS SAMPLE PROCESSOR SP-1
Baseline Generic NameSAMPLE PROCESSOR
Baseline Model NoSP-1
Baseline Catalog No341173
Baseline Device FamilyAPPARATUS, AUTOMATED BLOOD CELL DILUTING
Baseline Shelf Life [Months]NA
Baseline PMA FlagN
Baseline 510K PMNN
Baseline PreamendmentN
Baseline TransitionalN
510k ExemptY


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2004-09-10

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