inforMED
MalfunctionJPK

4C PLUS COULTER CELL CONTROL

Received Jun 24, 2011 · Event occurred Jan 9, 2008

Report 1061932-2011-00686 · MDR key 2172317

Device

Model number

NA

Catalog number

7547114

Lot number

1000093K

Product problems

  • Break

Patient

UNK

  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

THE TWO REMAINING CONTROLS WITHIN THE KIT DID NOT EXHIBIT THIS ISSUE. THE PRODUCT WAS DISCARDED BY THE CUSTOMER AND THEREFORE NOT AVAILABLE FOR EVALUATION. THERE HAVE BEEN NO SIMILAR EVENTS 12 MONTHS PRIOR TO THIS EVENT. ROOT CAUSE COULD NOT BE DETERMINED. THIS REPORTABLE EVENT WAS IDENTIFIED DURING A RETROSPECTIVE REVIEW CONDUCTED BETWEEN (B)(4) 2008 AND (B)(4) 2010 OF COMPLAINTS FOR ADDITIONAL REPORTABLE EVENTS.

Description of Event or Problem

CUSTOMER REPORTED A POTENTIAL HAZARD WHEN A PIECE OF GLASS BROKE OFF THE RIM OF A VIAL OF 4C PLUS COULTER CELL CONTROL. THE RIM BROKE WHEN THE OPERATOR WAS REMOVING THE CAP. THE OPERATOR WAS WEARING PERSONAL PROTECTIVE EQUIPMENT AND THERE WAS NO INJURY OR EXPOSURE TO MUCOUS MEMBRANES OR OPEN WOUNDS. NO REPORTS OF DEATH OR SERIOUS INJURY, AND NO AFFECT TO OPERATOR SAFETY AS A RESULT OF THIS EVENT.