inforMED
MalfunctionJPK

COULTER® 4C® PLUS CELL CONTROL

Received Apr 14, 2011 · Event occurred Mar 15, 2011

Report 1061932-2011-00250 · MDR key 2058255

Device

Generic name

Hematology Quality Control Mixture

Model number

N/A

Catalog number

7547114

Lot number

073700

Product problems

  • Break
  • Leak/Splash

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) STATING THAT THEIR COULTER 4C PLUS CELL CONTROL VIAL WAS BROKEN AND LEAKED. THE LEAK WAS DISCOVERED AFTER THE BOX CONTAINING THE VIAL WAS REMOVED FROM THE REFRIGERATOR. THE CUSTOMER WAS WEARING PERSONAL PROTECTIVE EQUIPMENT (PPE). NO REPORTS OF EXPOSURE TO EYES OR SKIN, MUCOUS MEMBRANES OR OPEN WOUNDS. NO DEATH OR SERIOUS INJURY HAVE BEEN REPORTED IN CONNECTION WITH THIS EVENT.

Additional Manufacturer Narrative

SERVICE WAS NOT DISPATCHED. A COURTESY REPLACEMENT WAS SENT TO THE CUSTOMER. AT THIS TIME, THE ROOT CAUSE FOR THIS EVENT IS UNKNOWN. PER MSDS LABELING: THIS PRODUCT SHOULD BE HANDLED AS THOUGH CAPABLE OF TRANSMITTING INFECTIOUS DISEASE. UNIVERSAL PRECAUTIONS SHOULD BE FOLLOWED WHEN USING THIS PRODUCT.

Remedial action

  • Replace