FDA Adverse Event Other Summary report: N

RAPIDLAB 1265

MDR report key: 1589404 · Received January 25, 2010

Report

Report Number
1217157-2010-00003
Event Type
Other
Date Received
January 25, 2010
Date of Event
January 12, 2010
Report Date
January 12, 2010
Manufacturer
SIEMENS HEALTHCARE DIAGNOSTICS MANUFACTURING LTD.
Product Code
GKR
PMA / PMN Number
K020616
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

PRODUCT LABELING INSTRUCTS CUSTOMERS TO WEAR PERSONAL PROTECTIVE EQUIPMENT INCLUDING SAFETY GLASSES TO PREVENT ACCIDENTAL CONTAMINATION.

Description of Event or Problem · 1

CUSTOMER REPORTS THAT WHILE THE UPPER DOOR OF THE INSTRUMENT WAS OPENED DURING A CARTRIDGE CHANGE AND SUBSEQUENT INITIALIZATION, THE CO-OXIMETER TUBING ATTACHED TO THE MANIFOLD DISENGAGED AND THE CONTENTS SPLASHED INTO THE OPERATOR'S EYE. THE OPERATOR RECEIVED A (B)(6) SHOT AND THERE ARE NO KNOWN ADVERSE EFFECTS FROM THE EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 RAPIDLAB 1265 RAPIDLAB 1265 GKR SIEMENS HEALTHCARE DIAGNOSTICS MANUFACTURING LTD. 1265

Patients

Seq Age Sex Outcome Treatment
1