COBAS P 612 PRE-ANALYTICAL SYSTEM P612

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional,u report with the FDA on 2019-12-02 for COBAS P 612 PRE-ANALYTICAL SYSTEM P612 manufactured by Roche Diagnostics.

Event Text Entries

[169837879] This event occurred in (b)(6). The investigation is ongoing.
Patient Sequence No: 1, Text Type: N, H10


[169837880] The initial reporter complained that a user was injured while attempting to troubleshoot an issue with the cobas p 612 pre-analytical instrument. The instrument produced a re-capper error; the sample tube was tilted and stuck in the re-capper module. Operator 1 opened the rear cover of the re-capping module to troubleshoot the issue. Operator 1 noticed a foil on the slot and attempted to remove it. While operator 1 was removing the foil, operator 2 started the instrument causing operator 1 to jam his hand and burn his finger on the heating block. The reporter stated operator 1 was "injured" and was "cut quite severely" on his right-hand wrist and his index and middle finger were burned. Operator 1 started taking antiretroviral medication immediately following the event and is currently still taking. Operator 1 is not having any complications from the event. Operator 1 did not receive any other treatment. The two fingers and wrist of operator 1 have healed.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1823260-2019-90279
MDR Report Key9396065
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2019-12-02
Date of Report2020-03-16
Date of Event2019-10-28
Date Mfgr Received2019-11-02
Date Added to Maude2019-12-02
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 Location3
Manufacturer ContactMICHAEL LESLIE
Manufacturer Street9115 HAGUE ROAD
Manufacturer CityINDIANAPOLIS IN 46250
Manufacturer CountryUS
Manufacturer Postal46250
Manufacturer G1ROCHE DIAGNOSTICS GMBH
Manufacturer StreetSANDHOFERSTRASSE 116
Manufacturer CityMANNHEIM (BADEN-WURTTEMBERG), 68305
Manufacturer CountryGM
Manufacturer Postal Code68305
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCOBAS P 612 PRE-ANALYTICAL SYSTEM
Generic NameAUTOMATED PREANALYTICAL SYSTEM
Product CodeJQP
Date Received2019-12-02
Model NumberP612
Catalog NumberASKU
Lot NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerROCHE DIAGNOSTICS
Manufacturer Address9115 HAGUE ROAD INDIANAPOLIS IN 46250 US 46250


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-12-02

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