TRINITY BIOTECH UNIGOLD RECOMBIGEN HIV CONTROL
Report
- Report Number
- 1318354-2013-00001
- Event Type
- Injury
- Date Received
- April 9, 2013
- Date of Event
- March 20, 2013
- Report Date
- April 8, 2013
- Manufacturer
- TRINITY BIOTECH PLC
- Product Code
- MZF
- PMA / PMN Number
- BP030025
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- MA, US
- Reporter Occupation
- OTHER
Narratives
TRINITY HAS CONFIRMED THE (B)(6) CONTROLS HAVE UNDERGONE CHEMICAL TREATMENT AND UV-INACTIVATION AND HAVE BEEN CERTIFIED AS (B)(6) AFTER A VIRUS CULTURE, AS WELL AS (B)(6) FOR (B)(6) AND THEREFORE THE RISK EXPOSURE IS DEEMED TO BE LOW. HOWEVER THE CONTROLS DO CONTAIN SODIUM AZIDE AS A PRESERVATIVE AND IS DESCRIBED ON THE MSDS. IT SHOULD BE NOTED THAT THE LABORATORY TECHNICIAN WAS NOT WEARING FULL COVERAGE GOGGLES OVER HER PRESCRIPTION GLASSES WHILE HANDLING THE MATERIAL. THIS PRACTICE WILL BE INSTITUTED BY (B)(6) MOVING FORWARD. TRINITY HAS REVIEWED THE DESIGN OF THE CONTROL VIALS AND DETERMINED THERE IS NO FAILURE DETECTED AND WAS A VERY UNFORTUNATE ISOLATED INCIDENT.
ON (B)(6) 2013 TRINITY BIOTECH (TRINITY) TECHNICAL SERVICES RECEIVED A PHONE CALL FROM (B)(6). THEY HAD A "SPLASHING INCIDENT" INVOLVING A LABORATORY TECHNOLOGIST PERFORMING TESTING WITH THE TRINITY BIOTECH UNIGOLD RECOMBIGEN (B)(6). WHILE RUNNING THE TESTING, THE TECHNOLOGIST SPLASHED SOME OF THE CONTROL IN HER EYE, CATCHING THE TIP OF THE TRANSFER PIPETTE ON THE EDGE OF THE VIAL. SHE DID NOT KNOW IF IT WAS THE (B)(6) CONTROL (PRODUCT NUMBER 1206530, LOT NUMBER A198004). THE TECHNOLOGIST WAS WEARING PRESCRIPTION GLASSES, BUT NOT PROTECTIVE GOGGLES. SHE WAS ALSO WEARING PROTECTIVE GLOVES. THE MSDS SHEET FOR THIS PRODUCT WAS REVIEWED AND THEY IMMEDIATELY FLUSHED HER EYES WITH WATER FOR AT LEAST 15 MINUTES. THERE WERE NO PATIENT SAMPLES INVOLVED. TRINITY CONFIRMED BACK TO THE LABORATORY STAFF THAT BOTH THE (B)(6) CONTROL MATERIAL HAVE UNDERGONE CHEMICAL AND UV INACTIVATION STEPS AND ARE FOUND (B)(6) FOR (B)(6). BOTH CONTROLS CONTAIN SODIUM AZIDE AS A PRESERVATIVE AND THIS IS LISTED ON THE MSDS, HENCE THE REQUIREMENT FOR FLUSHING EYES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 148075 | TRINITY BIOTECH UNIGOLD RECOMBIGEN HIV CONTROL | MZF, TEST, HIV DETECTION | MZF | TRINITY BIOTECH PLC | A198004 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |