FDA Adverse Event Injury Summary report: N

0.8% SURGISCREEN

MDR report key: 1727243 · Received June 17, 2010

Report

Report Number
2250051-2010-00154
Event Type
Injury
Date Received
June 17, 2010
Date of Event
May 19, 2010
Report Date
June 16, 2010
Manufacturer
ORTHO CLINICAL DIAGNOSTICS
Product Code
KSZ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE INDIVIDUAL WASHED AND DISINFECTED THE INVOLVED AREA; NO MEDICAL TREATMENT, THERAPY, OR MEDICATION WAS GIVEN TO THE OPERATOR. BROKEN VIAL WAS DUE TO VIAL BEING DROPPED. NO INVESTIGATION PERFORMED. (B) (4)

Description of Event or Problem · 1

CUSTOMER REPORTED THAT A WAREHOUSE OPERATED INADVERTENTLY SPILLED REAGENT RED CELLS ON HER HAND WHILE PICKING UP A BROKEN VIAL. CUSTOMER HAD A PRE-EXISTING CUT ON THE THUMB. CUSTOMER IS NOT CERTAIN WHETHER ANY REAGENT RED CELLS GOT INTO THE CUT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 0.8% SURGISCREEN REAGENT RED BLOOD CELLS KSZ ORTHO CLINICAL DIAGNOSTICS 8SS617

Patients

Seq Age Sex Outcome Treatment
1