MUELLER HINTON II BROTH * 215145

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2006-05-26 for MUELLER HINTON II BROTH * 215145 manufactured by Bd Diagnostics.

Event Text Entries

[18113845] A laboratory technician was attempting to open a glass tube containing mueller hinton ii broth and the tube broke and cut the worker's index finger. The technician received six stiches to close the cut.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1119779-2006-00003
MDR Report Key720182
Report Source05
Date Received2006-05-26
Date of Report2006-05-19
Date of Event2006-04-25
Date Mfgr Received2006-04-26
Date Added to Maude2006-05-31
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Manufacturer ContactJOHN GERLICH
Manufacturer Street7 LOVETON CIRCLE
Manufacturer CitySPARKS MD 21152
Manufacturer CountryUS
Manufacturer Postal21152
Manufacturer Phone4103164464
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMUELLER HINTON II BROTH
Generic NameTUBED CULTURE MEDIUM (BROTH)
Product CodeJSD
Date Received2006-05-26
Model Number*
Catalog Number215145
Lot Number5276687
ID Number*
Device Expiration Date2006-10-04
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key709251
ManufacturerBD DIAGNOSTICS
Manufacturer Address* MADISON WI * US
Baseline Brand NameMUELLER HINTON II BROTH
Baseline Generic NameTUBED CULTURE MEDIUM (BROTH)
Baseline Model No*
Baseline Catalog No215145
Baseline ID*


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2006-05-26

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