KIT, APTIMA CMB2 ASSAY LR0167G-01

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-09-06 for KIT, APTIMA CMB2 ASSAY LR0167G-01 manufactured by Hologic, Inc..

Event Text Entries

[85087347] (b)(6) reported that one of their operators ((b)(6)) had splashed auto detect 1 (from bottle a / pn: lr0167g-01) into her eyes while she was removing the quick disconnect fitting from the auto detect 1a (ad1a) bottle of the tigris. The operator was wearing a face shield when incident happened but was crouching close to the fluid drawer such that the splash went underneath the face shield. The operator immediately rinsed her eyes for 15 minutes. The operator felt irritation in her eyes and went to see a physician. The physician treated her and she was given two days off. The operator went to see a physician but was able to return to work after two days.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2024800-2017-00020
MDR Report Key6847142
Date Received2017-09-06
Date of Report2017-09-06
Date of Event2017-08-08
Date Facility Aware2017-08-08
Date Mfgr Received2017-08-08
Date Added to Maude2017-09-06
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 DR
Manufacturer CitySAN DIEGO CA 92121
Manufacturer CountryUS
Manufacturer Postal92121
Manufacturer Phone8584108799
Manufacturer G1HOLOGIC INC.
Manufacturer Street10210 GENETIC CENTER DR.
Manufacturer CitySAN DIEGO CA 92121
Manufacturer CountryUS
Manufacturer Postal Code92121
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameKIT, APTIMA CMB2 ASSAY
Generic NameIN-VITRO DIAGNOSTIC
Product CodeLSL
Date Received2017-09-06
Catalog NumberLR0167G-01
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerHOLOGIC, INC.
Manufacturer Address10210 GENETIC CENTER DR SAN DIEGO CA 92121 US 92121


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-09-06

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