inforMED
MalfunctionJPK

COULTER ACT 5DIFF CONTROL PLUS

Received Nov 18, 2011 · Event occurred Oct 26, 2011

Report 1061932-2011-02252 · MDR key 2341585

Device

Generic name

Mixture, Hematology Quality Control

Catalog number

7547198

Lot number

1111

Product problems

  • Leak/Splash

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

ON (B)(6) 2011 CUSTOMER REPORTED THAT SOME OF THEIR CONTROL VIALS, MAINLY THEIR HIGH LEVEL VIAL OF THE ACT 5 DIFF CONTROL, WAS FOUND TO BE LEAKING AS PART OF A DELIVERY TO THE LAB. HOWEVER, BASED ON FURTHER INFORMATION FROM THE CUSTOMER THE VIALS WERE FOUND TO BE LEAKING AFTER REMOVING THE VIALS FROM THE REFRIGERATOR A FEW DAYS LATER. CUSTOMER STATED THAT THERE WAS NO VISUAL DAMAGE TO THE VIALS. REPLACEMENT VIALS WERE SENT TO THE CUSTOMER. NO INJURIES WERE REPORTED AND NO ERRONEOUS PATIENT RESULTS WERE GENERATED.

Additional Manufacturer Narrative

(B)(4).