inforMED
MalfunctionJPK

COULTER® 4C® PLUS CELL CONTROL

Received Jan 11, 2011 · Event occurred Dec 10, 2010

Report 1061932-2011-00010 · MDR key 1958061

Device

Generic name

Hematology Quality Control Mixture

Model number

NA

Catalog number

7547114

Lot number

1000368K

Product problems

  • Fluid/Blood Leak

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

SERVICE WAS NOT DISPATCHED FOR THIS EVENT. THE ROOT CAUSE FOR THIS EVENT HAS NOT BEEN DETERMINED.

Description of Event or Problem

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO A COULTER 4C PLUS CELL LOW CONTROL TUBE THAT LEAKED. WHILE MIXING TUBE PER PACKAGE INSERT INSTRUCTION, THE CAP AND SOME OF THE CONTROL MATERIAL SPILLED ONTO THE FLOOR. THE CONTROL VIALS WERE BEING USED FOR THE FIRST TIME. THE OTHER TWO LEVELS OF CONTROL TUBES WERE CLOSED PROPERLY. THE CUSTOMER WAS WEARING GLOVES AND LAB COAT. THERE WAS NO EXPOSURE TO OPEN LESION OR MUCOUS MEMBRANES, AND NO ONE SOUGHT MEDICAL ATTENTION. THERE WAS NO EFFECT TO PATIENT OR USER.