MAUDE MDR 720182

MDR report key
720182
Report number
1119779-2006-00003
Event key
0
Event type
3
Date of event
2006-04-25
Date received
2006-05-26
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
100
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Contact
JOHN GERLICH
Address
7 LOVETON CIRCLE SPARKS MD 21152 US
Phone
410-410-4103
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1MUELLER HINTON II BROTHTUBED CULTURE MEDIUM (BROTH)BD DIAGNOSTICSJSD*2151455276687NRN

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12006-05-2601. O

Event Narratives#

D

Patient 1

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.