BACTISWAB II

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2008-01-10 for BACTISWAB II manufactured by Remel.

Event Text Entries

[745863] The item failed when the glass ampule was being broken to moisten the swab mrsa culture. The shards from the ampule pierced the outer barrier of the device and the employee's glove and hand. The failure occurred on two sequential attempts by two employees with the last two devices in the lot. No defects have been found in other lots. The two employees received right thumb lacerations. The employees were f/u with blood work, which returned as neg for mrsa.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5004985
MDR Report Key980144
Date Received2008-01-10
Date of Report2008-01-10
Date of Event2007-12-12
Date Added to Maude2008-01-23
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Sequence Number: 1

Brand NameBACTISWAB II
Generic NameBACTISWAB
Product CodeJSL
Date Received2008-01-10
Lot Number601179
Device Expiration Date2010-10-25
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key949292
ManufacturerREMEL
Manufacturer AddressLENEXA KS 66215 US

Device Sequence Number: 2

Brand NameBACTISWAB II
Generic NameBACTISWAB
Product CodeJSL
Date Received2008-01-10
Lot Number601179
Device Expiration Date2010-10-25
OperatorHEALTH PROFESSIONAL
Implant FlagN
Date RemovedB
Device Sequence No2
Device Event Key949293
ManufacturerREMEL
Manufacturer AddressLENEXA KS 66215 US


Patients

Patient NumberTreatmentOutcomeDate
10 2008-01-10

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