THINPREP 5000 PROCESSOR

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-06-24 for THINPREP 5000 PROCESSOR manufactured by Hologic, Inc.

Event Text Entries

[49300830] A customer in (b)(6) first reported an incident in (b)(6) 2016 to (b)(6) field service engineer (fse) where their thinprep 5000 processor with autoloader etched a slide with a wrong id number. *due to a misunderstanding of the event between the customer and (b)(6) field service engineer (fse), initially the incident was not considered a reportable event by the fse. The fse understood the event as the instrument could not read a slide id of one particular slide. The customer actually reported that the autoloader etched a slide with a wrong id number. The misunderstanding was discovered on (b)(6) when the customer reviewed the field service report from the fse visit in (b)(6) and noticed the miscommunication of the event, then notified hologic customer service and this event was elevated as a pae. Hologic's field service engineer (fse) confirmed with the customer that the patients sample was found and reprocessed. The barcode produced was correct and matched the vial id upon processing the sample the second time. Therefore, no patient recall was necessary. In addition, it was confirmed by the fse that no error code was presented to the operator. Fse confirmed but unable to reproduce the error, one slide printed with wrong id. Fse found the following to be the most likely cause of the error: vial barcode reader. Performed tsb 00882 to resolve the problem (see sr #(b)(4)). Ran go no-go test to verify instrument operation. 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


MAUDE Entry Details

Report Number1222780-2016-00163
MDR Report Key5747724
Date Received2016-06-24
Date of Report2016-06-22
Date Mfgr Received2016-06-02
Date Added to Maude2016-06-24
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 ContactEVA MAXWELL
Manufacturer Street250 CAMPUS DRIVE
Manufacturer CityMARLBOROUGH MA 01752
Manufacturer CountryUS
Manufacturer Postal01752
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameTHINPREP 5000 PROCESSOR
Generic NameTHINPREP 5000 PROCESSOR
Product CodeMKQ
Date Received2016-06-24
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerHOLOGIC, INC
Manufacturer Address250 CAMPUS DRIVE MARLBOROUGH MA 01752 US 01752


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2016-06-24

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