FDA Adverse Event Malfunction Summary report: N

ENGEN LABORATORY AUTOMATION SYSTEM

MDR report key: 1181043 · Received September 29, 2008

Report

Report Number
1319681-2008-00288
Event Type
Malfunction
Date Received
September 29, 2008
Date of Event
August 27, 2008
Report Date
September 4, 2008
Manufacturer
ORTHO-CLINICAL DIAGNOSTICS
Product Code
JJE
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION OF THIS EVENT DETERMINED THAT A MINOR INJURY (LACERATION) OCCURRED AS AN OCD FIELD ENGINEER WAS CLEANING A STAMPED METAL TUBE RACK HOLDER ON THE ENGEN LABORATORY AUTOMATED SYSTEM. THE LACERATION WAS TREATED, WITH NO APPARENT LONG TERM EFFECTS, PER LABORATORY PROCEDURES AT THE SITE THE FE WAS VISITING. THE FE WAS ALSO TREATED WITH ANTI-RETROVIRAL MEDICATION, WHICH CAN PRODUCE ADVERSE EVENTS. THE PATIENT IS BEING MONITORED BY AN INFECTIOUS DISEASE SPECIALIST FOR EVALUATION OF MEDICAL TREATMENT. ADDITIONAL LABORATORY TESTING WILL BE PERFORMED TO EVALUATE THE FE'S RISK OF INFECTION OR COMPLICATIONS. NO LONG TERM CONSEQUENCES ARE EXPECTED AS A RESULT OF THIS EVENT.

Description of Event or Problem · 1

AN ORTHO-CLINICAL DIAGNOSTICS FIELD ENGINEER REPORTED THAT HE RECEIVED A LACERATION ON HIS FINGER WHILE PERFORMING PREVENTIVE MAINTENANCE ON THE ENTRY/EXIT MODULE OF AN ENGEN LAB AUTOMATION SYSTEM. THIS IS AN AREA WHERE PATIENT SAMPLES ARE PROCESSED AND SERA CAN BE CONTACTED. EVENT OCCURRED AT THE HOSPITAL. THIS REPORT CORRESPONDS TO ORTHO-CLINICAL DIAGNOSTICS, INC.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ENGEN LABORATORY AUTOMATION SYSTEM LABORATORY AUTOMATION SYSTEM JJE ORTHO-CLINICAL DIAGNOSTICS NA NA

Patients

Seq Age Sex Outcome Treatment
1