Model Number ADVIA 2120I HEMATOLOGY SYSTEM WITH DUAL ASPIRATE AUTOSAMPLER |
Device Problem
Device Handling Problem (3265)
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Patient Problem
No Known Impact Or Consequence To Patient (2692)
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Event Date 02/18/2018 |
Event Type
malfunction
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Manufacturer Narrative
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Siemens has determined that the cause of the needlestick injury to the customer's finger on the advia 2120i hematology system with dual aspirate autosampler is the customer's technique when performing the centering collar maintenance on the instrument.The advia 120/ 2120/ 2120i hematology system operator's guide states the following: "to avoid personal injury and exposure to a potential biohazard, you must cover the needle with the red needle cover immediately after you remove the entering collar." the customer failed to follow the operator's guide instructions and did not cover the autosampler needle with the red needle stick cover after removing the centering collar.The system is performing according to specifications.No further evaluation of this device is required.
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Event Description
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The customer reported that a clot was present in the centering collar on the advia 2120i hematology system with dual aspirate autosampler.They also reported that there was leakage near the centering collar.Upon performing maintenance on the centering collar, the customer sustained a needlestick injury to the finger.The customer did not require medical intervention and was tested for infectious diseases, which recovered as negative.There are no known reports of adverse health consequences due to the customer sustaining a needlestick injury while performing maintenance the centering collar on the advia 2120i hematology system with dual aspirate autosampler.
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Manufacturer Narrative
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Siemens filed the initial mdr 2432235-2018-00154 on 12-apr-2018.Additional information (26-apr-2018): siemens further investigated the cause of the leak and clot in the centering collar of the advia 2120i hematology system with dual aspirate autosampler.Siemens determined that the clot in the centering collar of the system potentially contributed to the leak around the centering collar.Diluent, used to clean the needle and the centering collar, evacuates from the ports on the centering collar, which are connected to two valves, of the system.The ports were potentially occluded from lack of customer's maintenance, which possibly caused the leak.
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Search Alerts/Recalls
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