inforMED
MalfunctionGGN

DIRECTCHECK CITRATE PT ABNORMAL

Received May 3, 2017 · Event occurred May 1, 2017

Report 3002721930-2017-00009 · MDR key 6541341

Device

Generic name

Plasma, Coagulation Control

Model number

DCJCPT-A

Catalog number

DCJCPT-A

Lot number

M6DAC011

Product problems

  • Improper or Incorrect Procedure or Method
  • Adverse Event Without Identified Device or Use Problem
  • Improper or Incorrect Procedure or Method
  • Adverse Event Without Identified Device or Use Problem

Patient

30 YR

  • Laceration(s)
  • Laceration(s)

Narrative

Additional Manufacturer Narrative

THIS MDR SUBMITTED ON 05/03/2017 REFERENCES ACCRIVA DIAGNOSTICS' COMPLAINT NUMBER (B)(4). (B)(4).

Description of Event or Problem

HEALTHCARE PROFESSIONAL REPORTED THAT AN END USER SUSTAINED AN INJURY WHILE DISPENSING A DIRECTCHECK QUALITY CONTROL. THIS CONTROL IS PACKAGED IN A GLASS AMPULE INSIDE A CRUSHABLE PLASTIC DROPPER VIAL CONTAINING DILUENT. WHEN RECONSTITUTING THE CONTROL, THE END-USER WORE GLOVES BUT FAILED TO UTILIZE THE PROTECTIVE SLEEVE PROVIDED WITH THE PRODUCT. THE PURPOSE OF THE SLEEVE IS TO SAFEGUARD THE END USER AGAINST POTENTIAL INJURY WHILE HANDLING THE CONTROL. THE END USER SQUEEZED THE VIAL AND SUSTAINED A SMALL CUT TO HER RIGHT THUMB PAD WHICH WAS CAUSED BY A PIECE OF GLASS PIERCING THE WALL OF THE VIAL. THE END USER WASHED THE AFFECTED AREA WITH SOAP AND WATER AND APPLIED A BAND AID. NO FURTHER MEDICAL ATTENTION WAS SOUGHT AND NO COMPLICATIONS WERE DOCUMENTED.