inforMED
MalfunctionCFN

IMMAGE® 800 IMMUNOCHEMISTRY SYSTEM

Received May 16, 2012 · Event occurred Apr 17, 2012

Report 2050012-2012-01072 · MDR key 2575541

Device

Generic name

Nephelometer, For Clinical Use

Model number

IMMAGE 800

Catalog number

A15445

Lot number

N/A

Product problems

  • Leak/Splash

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

(B)(4).

Description of Event or Problem

CUSTOMER STATED THAT THE WASH STATION OVERFLOWED WHEN ATTEMPTED TO WASH THE PROBE ON THE IMMAGE 800 IMMUNOCHEMISTRY SYSTEMS. LEAKING HARDWARE COMPONENT COULD POTENTIALLY IMPACT SAMPLE RESULTS BY EITHER CONTAMINATION OR DILUTION EFFECT. THE CUSTOMER WAS WEARING PERSONAL PROTECTIVE EQUIPMENT (PPE) CONSISTING OF A LAB COAT AND GLOVES. THE CUSTOMER DID NOT COME IN CONTACT WITH THE FLUID AND DID NOT SEEK MEDICAL ATTENTION. NO EXPOSURE (SPRAYED OR SPLASHED) TO MUCOUS MEMBRANES OR OPEN WOUNDS WERE REPORTED. NO DEATH, INJURY OR CHANGES TO PATIENT TREATMENT OR RESULTS ARE ASSOCIATED WITH THIS EVENT. THE CUSTOMER REVIEWED THE MSDS AND THE FACILITY HAS AN EXPOSURE CONTROL OR RISK MANAGEMENT PLAN IN PLACE. ON (B)(6) 2012, A FIELD SERVICE ENGINEER ((FSE) FOUND SAMPLE PROBE WASH STATION OVERFLOWED DUE TO CLOGGED WASTE FILTER. THE FSE REPLACED THE FILTER WHICH RESOLVED ISSUE. THE CAUSE OF THE LEAK WAS DUE TO CLOGGED WASTE FILTER.