inforMED
MalfunctionGGN

DIRECTCHECK ACT-LR QUALITY CONTROL, ABNORMAL

Received Jul 24, 2017 · Event occurred Jul 6, 2017

Report 2250033-2017-00001 · MDR key 6738933

Device

Generic name

Plasma, Coagulation Control

Model number

DCJLR-A

Catalog number

DCJLR-A

Lot number

J6DLA034

Product problems

  • Human Factors Issue
  • Human Factors Issue

Patient

Not reported

  • Injury
  • Injury

Narrative

Additional Manufacturer Narrative

(B)(4). ACCRIVA DIAGNOSTICS HAS REQUESTED ALL DATA REQUIRED FOR FORM 3500A.

Description of Event or Problem

HEALTHCARE PROFESSIONAL REPORTED THAT AN END USER SUSTAINED AN INJURY WHILE USING A DIRECTCHECK QUALITY CONTROL. THIS CONTROL IS PACKAGED IN A GLASS AMPULE INSIDE A CRUSHABLE PLASTIC DROPPER VIAL CONTAINING DILUENT. USAGE OF GLOVES OR THE PROTECTIVE SLEEVE PROVIDED WITH THE KIT WAS NOT SPECIFIED. THE LOCATION OF THE INJURY, THE SEVERITY OF THE INJURY AND THE INITIAL TREATMENT OF THE INJURY WAS NOT SPECIFIED. THE END USER WENT TO THE EMERGENCY ROOM, HOWEVER THE MEDICAL CARE THAT MAY HAVE BEEN RENDERED AND IF COMPLICATIONS OCCURRED WAS NOT SPECIFIED.