TIGRIS SYSTEM 105118

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-05-05 for TIGRIS SYSTEM 105118 manufactured by Hologic, Inc..

Event Text Entries

[74589543] One of the laboratory technicians at the (b)(6) medical center clinical micro lab, ms. (b)(6), developed a hyper-sensitivity over 4 years ago to bleach used to clean the tigris instrument. Over time, the impact of bleach has progressively affected her health, causing ms. (b)(6) eye lids to swell shut. On (b)(6) 2017, ms. (b)(6) went to their employee health center for medical treatment. She was examined by a nurse practitioner who recommended her to avoid bleach and to wear a powered air purifying respirator (papr). (b)(4) fse visited the customer site and verified the lab is using correct volumes to make the final correct bleach dilutions. Based on a request by the customer, (b)(4) recommended the use of the bleach enhancer instead of bleach. (b)(4) fse went over the bleach enhancer pi with the lab supervisor (amy crimson) and worked with other staff to determine the volumes needed to make the least concentrated bleach per package insert instructions. One change to customer's practice is to make and discard bleach when the ms. (b)(6) (employee with the sensitivity) has left the lab for the day.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2024800-2017-00013
MDR Report Key6549609
Date Received2017-05-05
Date of Report2017-05-05
Date of Event2017-04-07
Date Mfgr Received2017-04-07
Date Added to Maude2017-05-05
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 ContactMS. JULIETTE BUSSE
Manufacturer Street10210 GENETIC CENTER DRIVE
Manufacturer CitySAN DIEGO CA 92121
Manufacturer CountryUS
Manufacturer Postal92121
Manufacturer Phone8584108799
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 NameTIGRIS SYSTEM
Generic NameIN VITRO DIAGNOSTICS
Product CodeMKZ
Date Received2017-05-05
Catalog Number105118
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerHOLOGIC, INC.
Manufacturer Address10210 GENETIC CENTER DRIVE SAN DIEGO CA 92121 US 92121


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2017-05-05

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