FDA Adverse Event Injury Summary report: N

ABL800 FLEX

MDR report key: 3952780 · Received July 10, 2014

Report

Report Number
1523456-2014-00003
Event Type
Injury
Date Received
July 10, 2014
Date of Event
January 1, 2014
Report Date
June 12, 2014
Manufacturer
RADIOMETER MEDICAL APS
Product Code
CHL
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

DUE TO A PROBLEM WITH A LEAKAGE FROM THE ABL820 INLET THE CUSTOMER DECIDED TO PERFORM A PROTEIN REMOVAL WITH A STANDARD HYPOCHLORITE SOLUTION. ACCORDING TO THE OPERATOR MANUAL (P. 7-21) THE PROTEIN REMOVAL PROGRAM SHOULD BE SELECTED ON THE ANALYZER, AND THEN A SYRINGE CONTAINING 0.5ML HYPOCHLORITE SOLUTION SHOULD BE PLACED IN THE INLET. THE USER MUST THEN PRESS START AND THE ANALYZER WILL RUN THE PROGRAM. IN THIS CASE THE USER TRIED TO INJECT THE HYPOCHLORITE SOLUTION INTO THE INLET, AND SINCE NO PUMPS WERE RUNNING AS THE PROGRAM WAS NOT STARTED, THE HYPOCHLORITE WAS SPRAYED IN HIS FACE. THE USER DID NOT WEAR EYE PROTECTION AND HE THEREFORE GOT HYPOCHLORITE IN HIS EYE. THE AFFECTED USER FLUSHED HIS EYE FOR 15 MINUTES AND REPORTED TO EMERGENCY ROOM WHERE HE WAS CHECKED AND RELEASED. HE HAS AFTERWARDS STATED THAT HE IS DOING FINE. REF MFR# 3002807968-2014-00020.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
405033 ABL800 FLEX ABL820 CHL RADIOMETER MEDICAL APS ABL820

Patients

Seq Age Sex Outcome Treatment
1 54 YR Required Intervention