KIT ELECSYS CLEAN-CELL M 2X2 L
Received Jan 30, 2013 · Event occurred Jan 14, 2013
Report 1823260-2013-00522 · MDR key 2934096
Device
Generic name
Detergent
Manufacturer
Roche DiagnosticsModel number
NACatalog number
04880293190
Lot number
10207711
Product problems
- Installation-Related Problem
Patient
Not reported
- Conjunctivitis
- Caustic/Chemical Burns
Narrative
Description of Event or Problem
THE CUSTOMER EXPERIENCED THE CLEAN CELL SOLUTION SPLASHING INTO HER EYE WHILE PUTTING THE SOLUTION ONTO THE COBAS E601 ANALYZER SERIAL NUMBER (B)(4). THE CUSTOMER WAS NOT WEARING ANY PERSONAL PROTECTIVE EQUIPMENT AT THE TIME OF THE EVENT. THE CUSTOMER STATED THE BOTTLE WAS REALLY FULL AND HEAVY AND WHEN SHE PICKED IT UP TO PUT IT IN POSITION ON THE ANALYZER, THE BOTTLE SLIPPED CAUSING HER TO SQUEEZE THE BOTTLE AND SPLASH THE CLEAN CELL INTO HER EYE. SHE DID NOT NOTE ANY DEFECT WITH THE BOTTLE. THE CUSTOMER VISITED THE ER WHERE HER EYE WAS FLUSHED WITH WATER FOR 15 MINUTES. SHE ALSO RECEIVED A TETANUS SHOT AND ANTIBIOTICS FOR THE INJURY. THE CUSTOMER'S EYE WAS RED AND INFLAMED. HER DIAGNOSIS WAS "CHEMICAL CONJUNCTIVITIS/CHEMICAL BURN TO LEFT EYE." THE CUSTOMER WAS DISMISSED FROM WORK FOR FIVE DAYS BY THE PHYSICIAN AND WAS TO FOLLOW UP WITH AN OPHTHALMOLOGIST. THE OPHTHALMOLOGIST PUT ARTIFICIAL TEARS IN HER EYE AND STATED THERE WAS NO PERMANENT DAMAGE TO HER EYE. SHE RETURNED TO WORK (B)(6) 2013 AND STATED SHE WAS NOT HAVING ANY PROBLEMS DUE TO THE EVENT.
Additional Manufacturer Narrative
IT WAS UNKNOWN IF THE INITIAL REPORTER SENT REPORT TO THE FDA.
Additional Manufacturer Narrative
THE INVESTIGATION DETERMINED THE EVENT WAS DUE TO A CUSTOMER HANDLING ISSUE. PRODUCT LABELING PROVIDES INSTRUCTIONS TO THE CUSTOMER TO WEAR PERSONAL PROTECTIVE EQUIPMENT WHEN HANDLING THE PRODUCT.