COULTER 4C-ES CELL CONTROL, NORMAL
Received Oct 21, 2011 · Event occurred May 26, 2010
Report 1061932-2011-01905 · MDR key 2326262
Device
Product problems
- Device Contamination with Body Fluid
Patient
UNK
- No Known Impact Or Consequence To Patient
Narrative
Description of Event or Problem
A COMPANY REPRESENTATIVE FROM THE BECKMAN COULTER, INC. WAREHOUSE IN (B)(4) HAD CONTACTED BECKMAN COULTER, INC. (BEC) TO REPORT OBSERVING BLOOD ADHERED TO THE PACKAGING OF A COULTER 4C-ES CELL CONTROL, NORMAL DURING INCOMING QC INSPECTION. A DIGITAL PHOTOGRAPH PROVIDED BY THE COMPANY REPRESENTATIVE REVEALED A SMALL SPOT OF BLOOD ON THE INNER PLASTIC TRAY OF THE PACKAGING. THE COMPANY REPRESENTATIVE WAS WEARING PERSONAL PROTECTIVE EQUIPMENT AT THE TIME OF THE EVENT. THERE WAS NO EXPOSURE TO MUCOUS MEMBRANES OR OPEN LESIONS. THERE WAS NO REPORT OF DEATH OR SERIOUS INJURY ASSOCIATED WITH THIS EVENT. MEDICAL ATTENTION WAS NOT SOUGHT. THE COMPANY REPRESENTATIVE REPORTED THAT THE FACILITY HAS A RISK MANAGEMENT PLAN IN PLACE. THE MATERIAL SAFETY DATA SHEET (MSDS) WAS REVIEWED.
Additional Manufacturer Narrative
PRODUCT LABELING STATES: "BECKMAN COULTER, INC. URGES ITS CUSTOMERS TO COMPLY WITH ALL NATIONAL HEALTH AND SAFETY STANDARDS SUCH AS THE USE OF BARRIER PROTECTION. THIS MAY INCLUDE, BUT IS NOT LIMITED TO, PROTECTIVE EYEWEAR, GLOVES, AND SUITABLE LABORATORY ATTIRE WHEN OPERATING OR MAINTAINING THIS OR ANY OTHER AUTOMATED LABORATORY ANALYZER." SERVICE WAS NOT DISPATCHED FOR THIS EVENT. THE PRODUCT WAS NOT RETURNED FOR EVALUATION. THE ROOT CAUSE WAS NOT DETERMINED. PRODUCT LABELING CONTAINS SUFFICIENT WARNINGS/PRECAUTIONS ADDRESSING POTENTIAL BIOHAZARD EVENTS. THIS REPORTABLE EVENT WAS IDENTIFIED DURING A RETROSPECTIVE REVIEW CONDUCTED BETWEEN (B)(4), 2008 AND (B)(4), 2010 OF COMPLAINTS FOR ADDITIONAL REPORTABLE EVENTS.