BCS XP SYSTEM 10459330

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2018-07-12 for BCS XP SYSTEM 10459330 manufactured by Siemens Healthcare Diagnostics Products Gmbh.

Event Text Entries

[114153715] While decontaminating the rinse container of the bcs xp system at a customer's site, the customer service engineer (cse) poured micro clean solution and barbicide concentrate down the same sink. The odor and gas released by the reaction between these substances irritated the cse's eyes and throat. The cse flushed the sink continuously with water for 15 minutes and indicated that only he was impacted by the odor emitted from the reaction of these substances. There was no indication of system malfunction. The cause of the event is related to the cse's method when pouring the micro clean solution and barbicide concentrate down the same sink. The system is performing according to specifications. No further evaluation of this device is required.
Patient Sequence No: 1, Text Type: N, H10


[114153716] While decontaminating the rinse container of a bcs xp system at a customer's site, a siemens customer service engineer (cse) poured micro clean solution and barbicide concentrate down the same sink. The cse reported that the reaction between these substances produced an odor and gas, which caused irritation to his eyes and throat. No medical treatment or intervention was required. There are no known reports of adverse health consequences due to the reaction between the micro clean solution and barbicide concentrate.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9610806-2018-00057
MDR Report Key7683051
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2018-07-12
Date of Report2018-07-12
Date of Event2018-06-20
Date Mfgr Received2018-06-20
Date Added to Maude2018-07-12
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 ContactCHRISTINA LAM
Manufacturer Street511 BENEDICT AVE
Manufacturer CityTARRYTOWN NY 10591
Manufacturer CountryUS
Manufacturer Postal10591
Manufacturer Phone9145243504
Manufacturer G1BIT ANALYTICAL INSTRUMENTS GMBH
Manufacturer StreetAM KRONBERGER HANG 3 REGISTRATION NUMBER:3003601075
Manufacturer CitySCHWALBACH, 65824
Manufacturer CountryGM
Manufacturer Postal Code65824
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBCS XP SYSTEM
Generic NameBCS XP SYSTEM
Product CodeGKP
Date Received2018-07-12
Model NumberBCS XP SYSTEM
Catalog Number10459330
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS PRODUCTS GMBH
Manufacturer AddressEMIL-VON-BEHRING-STR. 76 MARBURG, D-35041 GM D-35041


Patients

Patient NumberTreatmentOutcomeDate
10 2018-07-12

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