inforMED
MalfunctionCEF

OPTILITE ANALYSER

Received May 11, 2015 · Event occurred Apr 10, 2015

Report 9614373-2015-00001 · MDR key 4792538

Device

Catalog number

IE700

Product problems

  • Insufficient Device Problem Information

Patient

Not reported

  • Bruise/Contusion

Narrative

Description of Event or Problem

THE COVER ON THE OPTILITE ANALYSER WAS OPENED TO ACCESS THE INSIDE OF THE ANALYSER. THE TRAINED MEMBER OF BINDING SITE'S STAFF (APPLICATIONS SPECIALIST) THOUGHT THAT THE COVER WAS IN THE FULLY OPEN POSITION BUT WHILST HE WAS REMOVING REAGENTS, THE COVER FELL ON THE OPERATOR'S ARM CAUSING BRUISING. THE OPERATOR IS EXPERIENCED IN USING THE OPTILITE ANALYSER. THE EVENT OCCURED AT THE MANUFACTURER'S OWN PREMISES IN (B)(4).

Additional Manufacturer Narrative

THE ANALYSER IS MANUFACTURED BY THERMO FISHER (B)(4), WHO ARE RESPONSIBLE FOR DESIGN AND PRODUCTION. THE ANALYSER IS BADGED FOR BINDING SITE, WHO ARE RESPONSIBLE FOR MARKETING AND AFTER-SALES SERVICE, INCLUDING VIGILANCE. THIS EVENT HAS ALREADY BEEN REPORTED BY BINDING SITE TO THE NAT'L COMPETENT AUTHORITY IN THE (B)(4) THE MHRA ((B)(4)). THERE IS CURRENTLY ONE OPTILITE ANALYSER IN THE US, BEING USED FOR EVALUATION PURPOSES ONLY, NOT FOR MEDICAL PURPOSES. COMMENTS ON THE CAUSE OF THE EVENT ARE PROVIDED IN B5. IN THE SHORT TERM, CURRENT USERS WILL BE WARNED BY A FIELD SAFETY NOTICE OF THE RISK OF THE COVER CLOSING WHEN NOT IN THE FULLY OPEN POSITION. IN THE LONGER TERM, THE ANALYSER NEEDS TO BE MODIFIED BY THE ORIGINAL MANUFACTURER (THERMO FISHER) TO EITHER HAVE A STRONGER GAS STRUT FITTED OR PROVIDED WITH SOME TYPE OF LOCKING MECHANISM FOR WHEN THE COVER IS IN THE OPEN POSITION.