FDA Adverse Event
Injury
Summary report: N
GOLDSEAL MICROSCOPE SLIDE
MDR report key: 24554
·
Received July 28, 1995
Report
- Report Number
- 1483039-1995-00005
- Event Type
- Injury
- Date Received
- July 28, 1995
- Date of Event
- June 28, 1995
- Report Date
- July 27, 1995
- Manufacturer
- ERIE SCIENTIFIC CORP.
- Product Code
- KEW
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
WHEN LAB WORKER PLACED THE SLIDE ON THE COUNTER, A GLASS CHIP FROM THE SLIDE FLEW UP AND HIT HER IN THE EYE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | GOLDSEAL MICROSCOPE SLIDE | MICROSCOPE SLIDE | KEW | ERIE SCIENTIFIC CORP. | NA | 1915K |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Required Intervention |