CELLSEARCH CIRCULATING TUMOR CELL KIT
Received Aug 4, 2008 · Event occurred Jul 16, 2008
Report 3004582358-2008-00004 · MDR key 1099508
Device
Generic name
Cellsearch Ctc Kit
Manufacturer
Veridex LlcModel number
NACatalog number
7900003
Lot number
B086
Product problems
- Insufficient Device Problem Information
Patient
Not reported
- Exposure to Body Fluids
Narrative
Description of Event or Problem
CUSTOMER, LEAD RESEARCH TECHNICIAN, REPORTED ON BEHALF OF A COLLEAGUE THAT HAS BEEN EXPOSED VIA SPLASH TO THE EYE WITH THE CTC (CIRCULATING TUMOR CELL) CONTROL CELL IN THE 3ML VIALS. CUSTOMER REPORTS THAT THE USER WAS IN THE PROCESS OF TRANSFERRING THE CONTROL CELLS (B) (4) FROM THE 3ML VIAL TO A CONICAL TUBE. A DROPLET OF THE CONTROL CELL HAD SPLASHED IN THE USER'S EYE. CUSTOMER REPORTS THAT THE USER DID HAVE PROTECTIVE PERSONAL PROTECTION, LAB GOWN, GLOVES AND SAFETY GOGGLES. CUSTOMER REPORTED THAT THE DROPLET MAY HAVE TRAVELED AROUND THE SAFETY GOGGLES. THE CUSTOMER REPORTS THAT THE MSDS (MATERIAL SAFETY DATA SHEET) OF THE CONTROL KIT WAS RETRIEVED OFF OF THE VERIDEX WEBSITE AND THE USER IMMEDIATELY RINSED THEIR EYES WITH PLENTY OF WATER FOR 15 MIN. AT THE TIME OF THE INITIAL COMPLAINT, THE CUSTOMER DID NOT SEEK ANY MEDICAL ATTENTION. CUSTOMER HAS CONTACTED CTS TO OBTAIN ANY ADDITIONAL INFO REGARDING THE RISK ASSESSMENT TO THE EXPOSURE OF THE CELLS THEMSELVES IN THE KIT, SUCH AS VIAL EXPOSURE.
Additional Manufacturer Narrative
CTS FOLLOWED UP WITH THE CUSTOMER AND PROVIDED THEM WITH PRODUCT DETAILS. CUSTOMER SATISFIED AND HAS AGREED TO CONTACT CTS IN THE EVENT OF ANY ADDITIONAL INFORMATION IS REQUIRED. THE INFO PROVIDED TO THE CUSTOMER WAS THE FOLLOWING: THE DONORS ARE TESTED FOR VIRAL PARTICULATE CONTAMINANTS AND WERE ALL CONFIRMED TO BE NEGATIVE. THERE IS LITERATURE THAT SUPPORTS THE FIXATION PROCESS THESE CELLS GO THROUGH SHOULD POTENTIALLY REMOVE ANY POSSIBLE VIRAL TRANSMISSION AGENTS. WHILE THE RISK IS VERY LOW, THERE IS NO DATA ON SPECIFIC VIRUSES OR PRIONS, SO TOTAL SAFETY CANNOT BE ASSURED. THEREFORE IT IS STILL RECOMMEND UNIVERSAL PRECAUTIONS WITH THIS PRODUCT. CTS AGAIN REFERRED THE CUSTOMER TO THE MSDS SHEET TO THE CONTROL KIT WHICH INDICATES, "NO KNOWN TEST METHOD CAN OFFER COMPLETE ASSURANCE THAT PRODUCTS DERIVED FROM HUMAN BLOOD WILL NOT TRANSMIT INFECTION AGENTS." THE RISK FOR BLOOD BORNE DISEASE IS EXTREMELY LOW. THE CONTROL CELLS CONTAINS 0.1% SODIUM AZIDE. THE HEALTH HAZARD INFO POSTED IN THE MSDS SHEET FOR THE PRODUCT HAS BEEN LABELED AS A SEVERITY OF 1 WHICH IS CONSIDERED A SLIGHT HAZARD. CUSTOMER RECEIVED MEDICAL ATTENTION, WHICH INCLUDED A HEPATITIS B VACCINE INJECTION. THE INCIDENT WAS REPORTED TO THEIR FACILITIES' EXPOSURE CONTROL DEPARTMENT.