FDA Adverse Event Injury Summary report: N

LEICA SB EINWEGKLINGEN DB80LS (1X50)

MDR report key: 3760879 · Received April 7, 2014

Report

Report Number
8010478-2014-00003
Event Type
Injury
Date Received
April 7, 2014
Date of Event
February 4, 2014
Report Date
March 10, 2014
Manufacturer
LEICA BIOSYSTEMS NUSSLOCH GMBH
Product Code
IEO
PMA / PMN Number
EXEMPT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE INVESTIGATION REVEALED THE FOLLOWING: THE PACKAGE INSERT FOR THE DISPENSER WAS PROVIDED IN THE LEICA SB EINWEGKLINGEN DB80LS (1X50), AND WAS READ FROM THE CUSTOMER BEFORE THE USE OF THE DISPENSER. THE CUSTOMER HAS TRIED TO DISPOSE THE BLADES INTO THE WASTE BLADE BOX THROUGH THE HOLE ON THE BOTTOM OF THE BLADE DISPENSER, BUT CUT-RESISTANT SAFETY GLOVES WERE NOT WORE WHEN HANDLING THE BLADES AS DESCRIBED IN THE PACKAGE INSERT. THE ROOT CAUSE IS DETERMINED TO BE USER ERROR RELATED, WHERE INSTRUCTION TO WEAR CUT-RESISTANT GLOVES WAS NOT DONE. A CUSTOMER FACING LETTER WILL BE SENT TO THE CUSTOMER WITH THE RECOMMENDATION IN FUTURE TO FOLLOW THE DESCRIPTION PROVIDED IN THE PACKAGE INSERT.

Description of Event or Problem · 1

THE CUSTOMER GOT AN INJURY TO HER FINGER WHILST CHANGING THE BLADE ON A MICROTOME. SHE HAS CUT HER FINGER DUE TO THE SHARP EDGE ON THE MICROTOME BLADE. MEDICAL TREATMENT WAS NECESSARY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
205727 LEICA SB EINWEGKLINGEN DB80LS (1X50) NA IEO LEICA BIOSYSTEMS NUSSLOCH GMBH 14035843488

Patients

Seq Age Sex Outcome Treatment
1 28 YR Other