FDA Adverse Event Malfunction Summary report: N

VITROS 5600 INTEGRATED SYSTEM

MDR report key: 13871090 · Received March 23, 2022

Report

Report Number
1319681-2022-00013
Event Type
Malfunction
Date Received
March 23, 2022
Date of Event
February 24, 2022
Report Date
March 23, 2022
Manufacturer
ORTHO-CLINICAL DIAGNOSTICS
Product Code
JJE
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THE INVESTIGATION DETERMINED AN ORTHO FIELD ENGINEER (FE) SUSTAINED A MINOR CUT TO THE MIDDLE FINGER OF HIS RIGHT HAND WHEN WORKING TO THE REAR OF THE MOTION CONTROLLER AND POWER TRANSFORMER ON A VITROS 5600 INTEGRATED SYSTEM. THE ORTHO FE WAS WEARING GLOVES AT THE TIME OF THE EVENT BUT DID NOT UNDERTAKE ANY BASIC MEDICAL FIRST AID SUCH AS WASHING THE CUT AND APPLYING A BAND AID AT THE TIME OF THE EVENT AND CONTINUED WORKING. THIS HAS RESULTED IN AN INFECTION OF THE FINGER REQUIRING A MINOR MEDICAL PROCEDURE. THE MOST LIKELY ASSIGNABLE CAUSE OF THIS EVENT IS USER ERROR AND FAILURE TO FOLLOW GOOD LABORATORY PRACTICE. (B)(4).

Description of Event or Problem · 0

THE INVESTIGATION DETERMINED AN ORTHO FIELD ENGINEER (FE) SUSTAINED A MINOR CUT TO THE MIDDLE FINGER OF HIS RIGHT HAND WHEN WORKING TO THE REAR OF THE MOTION CONTROLLER AND POWER TRANSFORMER ON A VITROS 5600 INTEGRATED SYSTEM. BASED ON A MEDICAL CONSULT WITH ORTHO MEDICAL SAFETY OFFICER, DR (B)(4) ON 16 MARCH 2022 REGARDING THIS EVENT, IT WAS DEEMED CONSISTENT WITH A MINOR CUT AND NOT A SERIOUS INJURY. IT IS UNLIKELY THERE WOULD BE ANY PERMANENT IMPACT TO THE FUNCTION OF THE FINGER OR THE RIGHT HAND DUE TO THIS INCIDENCE AND AS SUCH THE EVENT IS NOT REPORTABLE. THE INCIDENT HAS BEEN REPORTED LOCALLY AS AN OCCUPATIONAL ACCIDENT AND A MINOR SURGICAL INTERVENTION WAS PERFORMED, WITH AN ABUNDANCE OF CAUTION. THE ORTHO COMPLAINT HANDLING UNIT HAS TAKEN THE DECISION TO CONSERVATIVELY REPORT THIS EVENT. THE ORTHO FE IS REPORTED TO BE RECOVERING WELL AND THERE ARE NO ANTICIPATED LONG-TERM EFFECTS FROM THIS EVENT. THIS REPORT CORRESPONDS TO ORTHO CLINICAL DIAGNOSTICS INC (ORTHO) COMPLAINT (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
950563 VITROS 5600 INTEGRATED SYSTEM CHEMISTRY ANALYZER JJE ORTHO-CLINICAL DIAGNOSTICS

Patients

Seq Age Sex Outcome Treatment
1 Unknown