BEUDAMED
    FDA Adverse Event Other Summary report: N

    BBL GRAM IODINE

    MDR report key: 671811 · Received February 6, 2006

    Report

    Report Number
    1119779-2006-00001
    Event Type
    Other
    Date Received
    February 6, 2006
    Date of Event
    December 29, 2005
    Report Date
    January 30, 2006
    Manufacturer
    BD DIAGNOSTIC SYSTEMS
    Product Code
    KPA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    LABORATORY TECHNOLOGIST WAS HAVING DIFFICULTY OPENING A CONTAINER OF GRAM IODINE, CATALOG #212529. SHE BEGAN TO BANG THE TUBE ON THE COUNTERTOP TO AID IN OPENING CONTAINER. INSTEAD, THE TUBE BROKE AND CUT HER RIGHT HAND. THE TECHNOLOGIST WENT TO THE EMERGENCY ROOM AND RECEIVED TWO STITCHES TO HER HAND. AN INCIDENT REPORT WAS FILED AT THE HOSPITAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BBL GRAM IODINE STAIN KPA BD DIAGNOSTIC SYSTEMS * 5290516

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other