FREEDOM EVO 100 10641100

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-12-19 for FREEDOM EVO 100 10641100 manufactured by Tecan Schweiz Ag.

Event Text Entries

[131490063] A tecan field service representative (fse) was dispatched to evaluate the report of the front panel falling. The fse replaced the gas spring as it was past the expected lifetime (i. E. 3 years). Additionally, the fse installed a second gas spring on the front panel. Based on the upgrade configuration of the evo 100, a front panel with an adjustable shield requires 2 gas springs as specified in the service manual. At the time the instrument was upgraded by field service, only one gas spring was installed in error. A capa has been opened to investigate the issue. The evo 100 front panels are made of plexiglass and are light (3kg) and have been assessed in the past to not cause a serious injury. However, in an abundance of caution, due to prior events on larger and heavier, though similar models that resulted in moderate injuries (and for which mdrs were filed), a mdr is being filed.
Patient Sequence No: 1, Text Type: N, H10


[131490064] The laboratory called to report that the door hinges collapsed and the front panel hit the operator on the head. There were no injuries (e. G. Bumps, bruises, cuts, etc) and no medical attention required. There was only one hinge from installation.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3003402518-2018-00002
MDR Report Key8178748
Date Received2018-12-19
Date of Report2018-12-19
Date of Event2018-11-21
Date Mfgr Received2018-11-21
Device Manufacturer Date2014-11-05
Date Added to Maude2018-12-19
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. JILLIAN WALKER
Manufacturer StreetSEESTRASSE 103
Manufacturer CityMAENNEDORF, ZH 8708
Manufacturer CountrySZ
Manufacturer Postal8708
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameFREEDOM EVO 100
Generic NamePIPETTING STATION FOR CLINICAL USE
Product CodeJQW
Date Received2018-12-19
Model Number10641100
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerTECAN SCHWEIZ AG
Manufacturer AddressSEESTRASSE 103 MAENNEDORF, ZH 8708 SZ 8708


Patients

Patient NumberTreatmentOutcomeDate
10 2018-12-19

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