inforMED
InjuryIFB

CYTOLYT SOLUTION CENTRIFUGE TUBE

Received Oct 3, 2001 · Event occurred Aug 28, 2001

Report 1222780-2001-00004 · MDR key 354772

Device

Generic name

Transport Medium For Cytolyt Sample

Manufacturer

Cytyc Corporation

Model number

0200012

Catalog number

0236080

Lot number

NI

Product problems

  • Misapplication

Patient

73 YR

  • Overdose
  • Therapy/non-surgical treatment, additional
  • Chemical Exposure
  • Hospitalization required

Narrative

Description of Event or Problem

IN 2001, HOSPITAL CALLED CYTYC'S TECHNICAL SVC DEPT ASKING THE AMOUNT OF METHANOL IN CYTOLYT SOLUTION, AS A PT DRANK A CUP (30CC) OF CYTOLYT. TECHNICAL SVC ADVISED THAT CYTOLYT CONTAINED 20% METHANOL. THE PT HAD BEEN IN THE HOSP FOR A BRONCHOSCOPY AND WAS TO HAVE ANOTHER PROCEDURE, AND IN ERROR, DRANK THE CYTOLYT. THE PT IS CURRENTLY BEING TREATED IN ICU. CUSTOMER DID HAVE AN MSDS FOR CYTOLYT AND HAD GIVEN IT TO THE DR TREATING THE PT IN ICU. THE CUSTOMER DID NOT HAVE AN UPDATE OF THE PT'S CONDITION. THE NEXT DAY, TECHNICAL SVC CALLED THE CUSTOMER BUT SHE DID NOT HAVE MUCH INFO, AS THE DRS WERE VERY BUSY. THE CUSTOMER DID STATE THEY HAD PUMPED THE PT'S STOMACH AND WERE MONITORING THE PT TODAY. THE NEXT DAY, THE CUSTOMER CALLED TECHNICAL SVC AND INDICATED THERE WERE NO TRACES OF METHANOL FOUND FROM THE BLOOD TEST ON THE PT.