inforMED
MalfunctionKEM

CITRASOLV

Received Aug 8, 2016 · Event occurred Jul 15, 2016

Report MW5064007 · MDR key 5868015

Device

Generic name

Citrasolv

Manufacturer

Decon Labs

Lot number

442167

Product problems

  • Contamination
  • Device Operates Differently Than Expected
  • Device Contamination with Chemical or Other Material

Patient

Not reported

  • Tissue Damage
  • Tissue Damage

Narrative

Description of Event or Problem

CITRASOLV (DECON LABORATORIES) REAGENT WAS CONTAMINATED WITH GRAY-GREEN TO BROWN MUCOID LIKE SUBSTANCE WHICH INTERFERED WITH THE CLEARING OF TISSUE PROCESSED AT THE (B)(4). THIS RESULTED IN TISSUE DAMAGE THAT REQUIRES RE-PROCESSING (WHICH IS IN PROCESS) AT THE MINIMUM. DATES OF USE: (B)(6) 2016. DIAGNOSIS OR REASON FOR USE: USED TO CLEAR TISSUE BEFORE PARAFFINIZATION OF TISSUE. TISSUE IS THEN CUT AND PLACED ON SLIDES FOR DIAGNOSIS.