Device Problems
Contamination (1120); Device Operates Differently Than Expected (2913); Device Contamination with Chemical or Other Material (2944)
Patient Problem
Tissue Damage (2104)
Event Date 07/15/2016
Event Type
malfunction
Event Description
Citrasolv (decon laboratories) reagent was contaminated with gray-green to brown mucoid like substance which interfered with the clearing of tissue processed at the (b)(4).This resulted in tissue damage that requires re-processing (which is in process) at the minimum.Dates of use: (b)(6) 2016.Diagnosis or reason for use: used to clear tissue before paraffinization of tissue.Tissue is then cut and placed on slides for diagnosis.