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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ROCHE DIAGNOSTICS COBAS P 471 CENTRIFUGE UNIT; AUTOMATED CENTRIFUGE UNIT

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ROCHE DIAGNOSTICS COBAS P 471 CENTRIFUGE UNIT; AUTOMATED CENTRIFUGE UNIT Back to Search Results
Catalog Number 07962584001
Device Problem Protective Measures Problem (3015)
Patient Problem Laceration(s) (1946)
Event Date 05/12/2021
Event Type  Injury  
Manufacturer Narrative
The investigation did not identify a product issue.Medwatch field e1 facility name - the full facility name was provided as "drk-blutspendedienst ggmbh baden-württemberg-hessen institute frankfurt/main inst.Für transfusionsmedizn".
 
Event Description
It was reported that a roche service technician hit his head on a cobas p 471 centrifuge unit while repairing it.The technician reportedly sustained a laceration.The laceration was reported to be closed with staples while the technician was in an ambulance.It was reported that no subsequent complications were observed for the technician.Further information regarding the circumstances of the incident was requested but not provided.
 
Manufacturer Narrative
It has been determined that the system was not turned off at the time the event occurred.The operators put magnets on the door to keep the system in operation with the doors open.Investigations determined there was no malfunction of the device.
 
Manufacturer Narrative
The component code has been updated.
 
Manufacturer Narrative
H6 investigation findings codes and investigation conclusion codes were updated.
 
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Brand Name
COBAS P 471 CENTRIFUGE UNIT
Type of Device
AUTOMATED CENTRIFUGE UNIT
Manufacturer (Section D)
ROCHE DIAGNOSTICS
9115 hague road
indianapolis IN 46250 0457
Manufacturer (Section G)
ROCHE DIAGNOSTICS AUTOMATION SOLUTIONS GMBH
maybachstrasse 30
waiblingen (baden-wurttemberg) 71332
GM   71332
Manufacturer Contact
amy nelson
9115 hague road
indianapolis, IN 46250
MDR Report Key18591709
MDR Text Key333898239
Report Number1823260-2024-00238
Device Sequence Number1
Product Code JQP
Combination Product (y/n)Y
Reporter Country CodeGM
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,User Facility,Company Representative
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup,Followup,Followup
Report Date 05/08/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Catalogue Number07962584001
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 01/11/2024
Initial Date FDA Received01/26/2024
Supplement Dates Manufacturer Received03/07/2024
03/27/2024
05/02/2024
Supplement Dates FDA Received03/08/2024
04/09/2024
05/08/2024
Was Device Evaluated by Manufacturer? Yes
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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