MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-06-06 for THINPREP 5000 PROCESSOR manufactured by Hologic, Inc.
[47605232]
A customer in (b)(6) reported an incidence where their thinprep 5000 processor with autoloader etched a wrong vial id onto a slide. The customer explained that some alcohol/fixative spilled onto the vial which caused smudging on the barcode. The instrument did not present any error to the operator. Instrument operational; hologic field service engineer (fse) dispatched to customer site. Fse confirmed there was no delay in patient diagnosis as a result of this issue. Fse confirmed but unable to reproduce error. Found the following to be the most likely cause of the error, vial label smudged which could possibly cause the misread. Performed barcode reader alignment. Processed samples to confirm operation. Instrument operational. Although no patients needed to be recalled as a result of this incident this is a reportable event since the instrument did not perform as intended.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 1222780-2016-00138 |
MDR Report Key | 5701019 |
Date Received | 2016-06-06 |
Date of Report | 2016-06-06 |
Date Mfgr Received | 2016-05-09 |
Date Added to Maude | 2016-06-06 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Contact | EVA MAXWELL |
Manufacturer Street | 250 CAMPUS DRIVE |
Manufacturer City | MARLBOROUGH MA 01752 |
Manufacturer Country | US |
Manufacturer Postal | 01752 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 0 |
Brand Name | THINPREP 5000 PROCESSOR |
Generic Name | THINPREP 5000 PROCESSOR |
Product Code | MKQ |
Date Received | 2016-06-06 |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Eval'ed by Mfgr | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | HOLOGIC, INC |
Manufacturer Address | 250 CAMPUS DRIVE MARLBOROUGH MA 01752 US 01752 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Other | 2016-06-06 |