BOX OF COLL KITS,VAGINAL SWAB (IVD) 50PK 301162

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2017-11-17 for BOX OF COLL KITS,VAGINAL SWAB (IVD) 50PK 301162 manufactured by Hologic, Inc.

Event Text Entries

[92357291] (b)(6) (customer) reported that (b)(6) (nurse) at their site inadvertently splashed some transfer solution into an eye while breaking a vaginal swab in the tube. The swab with the specimen was already in solution. The nurse immediately flushed the affected eye with water per the instructions provided in the safety data sheet. In addition, (b)(6) flushed (b)(6) eye using a 10 cc syringe with sterile water. Per osha guidelines, a 'general accidental chemical exposure incident report' form was filled out. No professional medical treatment was sought as the affected individual had not complained about any further medical issues regarding this incident.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2024800-2017-00026
MDR Report Key7041805
Report SourceHEALTH PROFESSIONAL
Date Received2017-11-17
Date of Report2017-11-17
Date of Event2017-10-24
Date Mfgr Received2017-10-24
Date Added to Maude2017-11-17
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 Report3

Device Details

Brand NameBOX OF COLL KITS,VAGINAL SWAB (IVD) 50PK
Generic NameIN-VITRO DIAGNOSTIC, PRODUCT CODE
Product CodeLIO
Date Received2017-11-17
Catalog Number301162
Device Availability*
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 2017-11-17

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