inforMED
MalfunctionJPK

4C PLUS COULTER® CELL CONTROL

Received Oct 14, 2011 · Event occurred Sep 13, 2011

Report 1061932-2011-01716 · MDR key 2295400

Device

Generic name

Hematology Quality Control Mixture

Model number

NA

Catalog number

7547114

Lot number

067200

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. (BEC) REPORTING THAT A COULTER 4C PLUS CELL CONTROL TUBE WAS LEAKING BLOOD. PER CUSTOMER, THE CAP OF THE LEAKING TUBE APPEARED TO BE DAMAGED. THE USER WAS WEARING PERSONAL PROTECTIVE EQUIPMENT (PPE) CONSISTING OF GLOVES AT THE TIME OF THE INCIDENT. NO INJURY OR EXPOSURE WAS REPORTED AND MEDICAL ATTENTION WAS NOT SOUGHT.

Additional Manufacturer Narrative

THE ROOT CAUSE OF THE LEAK WAS THAT THE CAP OF THE CONTROL TUBE WAS DAMAGED. THE CUSTOMER WAS SENT A REPLACEMENT SET OF CONTROLS. (B)(4).