MAGNA PURE96 INSTRUMENT 06541089001

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign report with the FDA on 2020-01-17 for MAGNA PURE96 INSTRUMENT 06541089001 manufactured by Roche Molecular Systems, Inc..

Event Text Entries

[176096221] At the time of the incident, the laboratory operator was not wearing eye protection. Within the magna pure 96 system safety manual, it indicates working without personal protective equipment constitutes a risk to life or health. Wear appropriate personal protective equipment, including, but not limited to, the following items: eye protection with side shields. (b)(4). Na.
Patient Sequence No: 1, Text Type: N, H10


[176096222] A laboratory operator, at a customer site in the netherlands, was splashed in the face with liquid waste from the magna pure 96 instrument. After the incident, the operator went to the emergency room where their eye was rinsed for 30 minutes and evaluated by an ophthalmologist. On the next day, the operator went to an ophthalmologist for a second check. A topical cream and eye drops were administrated for 1 week; no further treatment details were provided. There is no report of any permanent damage / impairment of the eye. At the time of the incident, the operator was not wearing eye protective glasses or goggles. The magna pure 96 instrument is designed to perform automated purification of nucleic acids for in vitro diagnostic purposes.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2243471-2020-00001
MDR Report Key9604680
Report SourceFOREIGN
Date Received2020-01-17
Date of Report2020-01-17
Date of Event2019-12-23
Date Mfgr Received2019-12-23
Date Added to Maude2020-01-17
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 ContactNA STACIE-ANN CREIGHTON
Manufacturer Street1080 US HWY 202 S NA
Manufacturer CityBRANCHBURG NJ 08876
Manufacturer CountryUS
Manufacturer Postal08876
Manufacturer Phone9082537112
Manufacturer G1ROCHE INTERNATIONAL ROTKREUZ
Manufacturer StreetFORRENSTRASSE 2 NA
Manufacturer CityROTKREUZ 6343
Manufacturer CountryCH
Manufacturer Postal Code6343
Single Use3
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameMAGNA PURE96 INSTRUMENT
Generic NameCLINICAL SAMPLE CONCENTRATOR
Product CodeJJH
Date Received2020-01-17
Model NumberNA
Catalog Number06541089001
Lot NumberNA
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerROCHE MOLECULAR SYSTEMS, INC.
Manufacturer Address1080 US HIGHWAY 202 SOUTH NA BRANCHBURG NJ 08876 US 08876


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-01-17

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