AFINION 1115176

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2020-03-13 for AFINION 1115176 manufactured by Abbott Diagnositcs Technologies As.

Event Text Entries

[188868792] The customer had run an afinion test. And removed the cassette. As she touched and closed the lid of the analyzer she felt an electric shock and saw a sharp gleam/light, followed by a bang and a smell of burn. The user reported 30 minutes of pain in her hand and felt fine after that. There was a power outage and short circuit power failure in the office. The user did not need any kind of medical treatment after the incident. The user has experienced other instances of static electricity. The staff has discussed if they should get special rubber mats to prevent static electricity since some of them experience static electricity on a regular basis when touching different medical equipment, especially their centrifuge, but also in general in the office as door handles, between themselves etc.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3003045237-2020-00001
MDR Report Key9832548
Report SourceHEALTH PROFESSIONAL
Date Received2020-03-13
Date of Report2020-03-13
Date of Event2020-02-20
Date Mfgr Received2020-02-21
Date Added to Maude2020-03-13
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 MONICA VALLESTAD
Manufacturer StreetKJELS P.O.BOX 6863 RODEL
Manufacturer CityOSLO, 0504
Manufacturer CountryNO
Manufacturer Postal0504
Manufacturer G1ABBOTT DIAGNOSTICS TECHNOLOGIES AS
Manufacturer StreetKJELS P.O.BOX 6863 RODEL
Manufacturer CityOSLO, 0504
Manufacturer CountryNO
Manufacturer Postal Code0504
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameAFINION
Generic NameANALYZER
Product CodeJQT
Date Received2020-03-13
Returned To Mfg2020-02-25
Model Number1115176
Catalog Number1115176
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerABBOTT DIAGNOSITCS TECHNOLOGIES AS
Manufacturer AddressKJELS?SVEIEN 161 P.O.BOX 6863 RODEL?KKA OSLO, 0504 NO 0504


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-03-13

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