FDA Adverse Event Other Summary report: N

DIRECTCHECK QUALITY CONTROL

MDR report key: 1562515 · Received December 17, 2009

Report

Report Number
2248721-2009-00605
Event Type
Other
Date Received
December 17, 2009
Date of Event
November 6, 2009
Report Date
December 17, 2009
Manufacturer
INTERNATIONAL TECHNIDYNE CORP.
Product Code
GGN
PMA / PMN Number
K944691
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

(B)(4). PRODUCT NOT RETURNED TO MFR. CUSTOMER COMPLAINT COULD NOT BE CONFIRMED.

Description of Event or Problem · 1

CUSTOMER REPORTS BLOOD EXPOSURE INCIDENT WHILE CRUSHING DIRECTCHECK QUALITY CONTROL VIAL. CUSTOMER REPORTS NOT USING PROTECTIVE SLEEVE REQUIRED FOR CORRECT PRODUCT HANDLING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DIRECTCHECK QUALITY CONTROL NONE GGN INTERNATIONAL TECHNIDYNE CORP. DCJLR-A F9DLA034

Patients

Seq Age Sex Outcome Treatment
1