FDA Adverse Event Summary report: N

TISSUE PROCESSOR

MDR report key: 9674 · Received July 29, 1994

Report

Report Number
9674
Date Received
July 29, 1994
Report Date
July 1, 1994
Manufacturer
FISHER SCIENTIFIC CO.
Product Code
IEO
Report Source
User Facility report

Narratives

Description of Event or Problem · 1

NEW EQUIPMENT RECEIVED 4/19/94. 133 SPECIMENS PROCESSED WITH MACHINE REPORTING ALERT THAT WAX MELTING CHAMBERS OVERHEATED. NO DAMAGE TO SPECIMENS REPORTED. ON 4/20/94, 133 SPECIMENS PROCESSED. MACHINE MALFUNCTIONED CAUSING MIX IN REAGENTS AND IMPROPER PROCESSING. REPROCESSED BY HAND ON 4/21/94. SERVICE REPRESENTATIVE ADDED NEW COMPUTER BOARD TO INSTRUMENT. TEST RAN EQUIPMENT ON 4/21/94 AND 4/22/94 WITH NO PROBLEMS. ON 4/25/94, SPECIMENS PROCESSED ON TISSUE PROCESSOR AND EQUIPMENT MALFUNCTIONED. SERVICE REPRESENTATIVE RETURNED AND FOUND A PIECE OF METAL SCRAP FLOATING THRU MACHINE CAUSING A VALVE MALFUNCTION AND CONTAMINATING CHEMICALS AND REAGENTS. TWENTY-THREE TISSUES PROCESSED. SEVENTEEN REQUIRED DISCLAIMERS ON REPORTS.INVALID DATA - REGARDING SINGLE USE LABELING OF DEVICE. PATIENT MEDICAL STATUS PRIOR TO EVENT: INVALID DATA. INVALID DATA - REGARDING MULTIPLE PATIENT INVOLVEMENT.INVALID DATA - ON DEVICE SERVICE/MAINTENANCE. NO DATA - REGARDING DATE LAST SERVICED. SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY.INVALID DATA - REGARDING WHETHER EVENT PRESENTS IMMINENT HAZARD. INVALID DATA - WHETHER DEVICE USED AS LABELED/INTENDED.INVALID DATA - REGARDING EVALUATION BY USER AFTER EVENT. METHOD OF EVALUATION: INVALID DATA. RESULTS OF EVALUATION: INVALID DATA. CONCLUSION: INVALID DATA. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: INVALID DATA. CORRECTIVE ACTIONS: NO DATA. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TISSUE PROCESSOR IEO FISHER SCIENTIFIC CO. LX300

Patients

Seq Age Sex Outcome Treatment
1 UNK Invalid Data