FDA Adverse Event Injury Summary report: N

UNICEL DXH SLIDEMAKER STAINER COULTER CELLULAR ANALYSIS SYSTEM

MDR report key: 11641239 · Received April 9, 2021

Report

Report Number
1061932-2021-00058
Event Type
Injury
Date Received
April 9, 2021
Date of Event
March 16, 2021
Report Date
April 9, 2021
Manufacturer
BECKMAN COULTER
Product Code
GKZ
UDI-DI
15099590701567
PMA / PMN Number
K162414
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THERE WAS NO IMPACT TO PATIENTS AS A RESULT OF THIS EVENT. THE FSE HAD A BATTERY OF TESTS PERFORMED FOR POSSIBLE INFECTIOUS DISEASES ON THE SAME DAY OF THE CUT, ALL TESTS HAD NEGATIVE RESULTS. THE FSE WAS PRESCRIBED A PROPHYLAXIS COCKTAIL (DULOTEGRAVIR SODIUM AND TENOFOVIR DESAPROXIL FUMARATE + LUMIVUDINE). BESIDES THE INITIAL BASELINE TESTING, THE FSE WILL HAVE ADDITIONAL TESTING AT SCHEDULED INTERVALS TO MONITOR HIS HEALTH. BEC INTERNAL IDENTIFIER - (B)(4).

Description of Event or Problem · 1

THE FIELD SERVICE ENGINEER (FSE) REPORTED THAT WHILE WORKING ON THE DXH SMS INSTRUMENT HE RECEIVED A SMALL CUT ON HIS LEFT THUMB FROM A BROKEN SLIDE. AT THE TIME OF THE INJURY THE FSE WAS WEARING PERSONAL PROTECTIVE EQUIPMENT (PPE) WHICH INCLUDED GLOVES. THE SLIDE MAY CONTAIN BIOHAZARDOUS MATERIAL FROM PATIENT SAMPLES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
537035 UNICEL DXH SLIDEMAKER STAINER COULTER CELLULAR ANALYSIS SYSTEM COUNTER, DIFFERENTIAL CELL GKZ BECKMAN COULTER TN,DXH SLIDEMAKER STAINER II 15099590701567

Patients

Seq Age Sex Outcome Treatment
1 Other