FDA Adverse Event
Injury
Summary report: N
ADJUSTABLE AUTOMATIC DONOR SCALE
MDR report key: 270611
·
Received March 15, 2000
Report
- Report Number
- 1036337-2000-00001
- Event Type
- Injury
- Date Received
- March 15, 2000
- Date of Event
- February 17, 2000
- Report Date
- March 9, 2000
- Manufacturer
- HIGHLAND LABORATORIES
- Product Code
- KSQ
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
THE CENTER REPORTED THAT A STAFF NURSE WAS CLEANING UP AT THE END OF A SITE COLLECTION. NURSE BACKED UP INTO A SHARP METAL TAB ON THE AUTOMATIC DONOR SCALE. IT TORE THROUGH THE UNIFORM AND PUNCTURED HER RIGHT CALF LEAVING A WOUND AND CONTUSION. THE NURSE WAS TREATED FOR THE WOUND AND IS GETTING BASELINE BLOOD TESTS. THERE WAS NO BLOOD EXPOSURE TO ANYONE ELSE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ADJUSTABLE AUTOMATIC DONOR SCALE | ADJUSTABLE AUTOMATIC DONOR SCALE | KSQ | HIGHLAND LABORATORIES | NA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Required Intervention |