ABBOTT M2000SP INSTRUMENT 09K14-02

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative report with the FDA on 2018-08-28 for ABBOTT M2000SP INSTRUMENT 09K14-02 manufactured by Abbott Molecular, Inc..

Event Text Entries

[118529466] An elevated complaint investigation will be performed. H4 will be provided with the follow up report.
Patient Sequence No: 1, Text Type: N, H10


[118529467] The abbott m2000 system is intended for use in performing nucleic acid testing in clinical laboratories. It is comprised of the abbott m2000sp and the abbott m2000rt instruments. The abbott m2000sp is an automated system for performing sample preparation for nucleic acid testing. The abbott m2000rt is an automated system for performing fluorescence-based pcr to provide quantitative and qualitative detection of nucleic acid sequences. The customer states that their master mix addition run for hiv-1 routine ended normally. The customer tried to lift the amplification reagent packs from the assay reagent holder on the output deck of the m2000sp instrument to discard them, but the packs didn't come out easily, so the customer applied more force to do so. At one time while lifting, the customer couldn? T take the amplification pack, and her hand crashed with the robotic manipulator arm, resulting in tearing of the glove and a cut on the knuckles with blood. After that, the customer tried to clean the blood from the arm, but she cut her index finger (while using gloves), reporting the edge of the arm is sharp. The customer washed her injuries for 30 minutes with water and soap. Customer stated she went to the physician after the accident. She was tested for hiv-1, hcv and hbv; results were negative. She was vaccinated against tetanus and is under antiretroviral treatment for 1 month. No patient was involved, injury was sustained by an abbott m2000sp instrument user. This incident is being reported to fda because the incident occurred in colombia using the m2000sp instrument, list number 09k14-02, which is also approved for use in the united states.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3005248192-2018-00010
MDR Report Key7825190
Report SourceCOMPANY REPRESENTATIVE
Date Received2018-08-28
Date of Report2018-09-25
Date of Event2018-08-16
Date Mfgr Received2018-08-31
Device Manufacturer Date2011-07-06
Date Added to Maude2018-08-28
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. JOE HUTSON
Manufacturer Street1300 E. TOUHY AVE.
Manufacturer CityDES PLAINES IL 600183315
Manufacturer CountryUS
Manufacturer Postal600183315
Manufacturer Phone2243617619
Manufacturer G1ABBOTT MOLECULAR, INC.
Manufacturer Street1300 E. TOUHY AVE.
Manufacturer CityDES PLAINES IL 600183315
Manufacturer CountryUS
Manufacturer Postal Code600183315
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Sequence Number: 0

Brand NameABBOTT M2000SP INSTRUMENT
Generic NameCLINICAL SAMPLE CONCENTRATOR
Product CodeOOI
Date Received2018-08-28
Catalog Number09K14-02
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No0
Device Event Key0
ManufacturerABBOTT MOLECULAR, INC.
Manufacturer Address1300 E. TOUHY AVE. DES PLAINES IL 600183315 US 600183315

Device Sequence Number: 1

Brand NameABBOTT M2000SP INSTRUMENT
Generic NameCLINICAL SAMPLE CONCENTRATOR
Product CodeJJH
Date Received2018-08-28
Returned To Mfg2018-09-18
Catalog Number09K14-02
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerABBOTT MOLECULAR, INC.
Manufacturer Address1300 E. TOUHY AVE. DES PLAINES IL 600183315 US 600183315


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-08-28

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