inforMED
MalfunctionJCB

COULTER ACT RINSE SHUTDOWN DILUENT

Received Jul 22, 2011 · Event occurred Dec 22, 2009

Report 1061932-2011-00918 · MDR key 2185199

Device

Model number

NA

Catalog number

8547113

Lot number

114153K

Product problems

  • Break
  • Leak/Splash

Patient

UNK

  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

A REVIEW FOR SIMILAR EVENTS WAS CONDUCTED. THERE HAS BEEN ONLY ONE ADDITIONAL REPORT OF REAGENT LEAKING UPON RECEIPT DURING 2004 TO 2009. ROOT CAUSE IS UNKNOWN. 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 CHEMICAL HAZARD WHEN THE COULTER ACT RINSE SHUTDOWN DILUENT WAS LEAKING. THE PACKAGE HAD A BROKEN SEAL AND WAS LEAKING UPON RECEIPT. THE OPERATOR WAS NOT WEARING PERSONAL PROTECTIVE EQUIPMENT AT THE TIME OF THE INCIDENT. THERE WAS NO SPILL ON THE FLOOR OR COUNTER AND NO REAGENT MATERIAL SPILLED ON THE OPERATOR. THERE WAS NO EXPOSURE TO MUCOUS MEMBRANES, SKIN, EYES OR INHALATION. NO REPORTS OF DEATH OR SERIOUS INJURY, AND NO AFFECT TO OPERATOR SAFETY AS A RESULT OF THIS EVENT.