FDA Adverse Event Malfunction Summary report: N

SLIDEPREP PLUS CYTOLOGY CENTRIFUGE

MDR report key: 2744481 · Received August 30, 2012

Report

Report Number
1721649-2012-00002
Event Type
Malfunction
Date Received
August 30, 2012
Report Date
August 31, 2012
Manufacturer
SEPARATION TECHNOLOGY, INC., PART OF THERMO FISHER SCIENTIFIC
Product Code
JQC
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

EVALUATION CODES ARE ASSIGNED IN 1721649-2012-00001, BECAUSE BOTH REPORTED INCIDENTS INVOLVE THE SAME CYTOCENTRIFUGE.

Description of Event or Problem · 1

DURING THE INVESTIGATION OF THE INCIDENT DESCRIBED IN REPORT 1721649-2012-00001, THE LABORATORY TECHNICIAN STATED THAT THE INCIDENT HAD OCCURRED ONE OTHER TIME PREVIOUSLY. THE LABORATORY TECHNICIAN WAS NOT ABLE TO PROVIDE DETAILS ON THE OTHER INCIDENT, OTHER THAN TO SAY THAT THE INCIDENT INVOLVED THE SAME CYTOCENTRIFUGE AND THAT THE CYTOCENTRIFUGE BEGAN TURNING IN THE SAME MANNER AS DESCRIBED IN 1721649-2012-00001. BECAUSE THE INCIDENT INVOLVED THE SAME CYTOCENTRIFUGE, THE INVESTIGATION RESULTS ARE DESCRIBED IN 1721649-2012-00001.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SLIDEPREP PLUS CYTOLOGY CENTRIFUGE SLIDEPREP PLUS JQC SEPARATION TECHNOLOGY, INC., PART OF THERMO FISHER SCIENTIFIC 100-400 033

Patients

Seq Age Sex Outcome Treatment
1