FDA Adverse Event Injury Summary report: N

0.8% SELECTOGEN

MDR report key: 1522399 · Received November 2, 2009

Report

Report Number
2250051-2009-00305
Event Type
Injury
Date Received
November 2, 2009
Date of Event
October 8, 2009
Report Date
November 2, 2009
Manufacturer
ORTHO-CLINICAL DIAGNOSTICS
Product Code
MWN
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

ACCORDING TO SUPERVISOR, THE TECH IMMEDIATELY WASHED THE EYE WITH RUNNING WATER AND FOLLOWED-UP WITH EMPLOYEE HEALTH. TECH HAS RETURNED TO WORK.

Description of Event or Problem · 1

CUSTOMER REPORTED THAT A SMALL AMOUNT OF REAGENT RED CELLS SPLASHED INTO A BLOOD BANK TECH'S EYE WHEN THE TECH WAS DISPENSING RED CELLS BACK INTO THE VIAL. THE TECH WAS WEARING GLASSES, THEREFORE ONLY A SMALL AMOUNT OF RED CELLS SPLASHED INTO THE EYE. OCD'S MEDICAL DIRECTOR HAS CLASSIFIED THIS EVENT AS A SERIOUS INJURY. THIS REPORT CORRESPONDS TO ORTHO CLINICAL DIAGNOSTICS, INC.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 0.8% SELECTOGEN REAGENT RED BLOOD CELLS MWN ORTHO-CLINICAL DIAGNOSTICS NA VS301

Patients

Seq Age Sex Outcome Treatment
1 Other| R