MAUDE Adverse Event Report: BIO-RAD LABORATORIES, INC. LIQUID UNASSAYED MULTIQUAL TRILEVEL MINIPAK; Multi-analyte controls, all kinds (assayed)

Catalog Number	698X
Medical Device Problem Code	No Apparent Adverse Event (3189)
Health Effect - Clinical Code	Unspecified Eye / Vision Problem (4471)
Date of Event	02/10/2025
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
Instruction for use (ifu) provided by bio-rad for testing liquid unassayed multiqual indicates that the product contains human source materials and should be considered potentially infectious and handled with the same precautions used with patient specimens in accordance with good laboratory practice.Each human donor unit used to manufacture this product was tested as required by fda accepted methods.Tests results were non-reactive or negative for evidence of infection due to human immunodeficiency virus (hiv), hepatitis b virus (hbv) and hepatitis c virus (hcv).This product may also contain other human source materials for which there are no approved tests.In accordance with good laboratory practice, all human source material should be considered potentially infectious and handled with the same precautions used with patient specimens.
Event or Problem Description
On (b)(6) 2025, a chemistry lab supervisor at (b)(6), usa reported an eye splashing event on their colleague at (b)(6) center in (b)(6), located at (b)(6), usa (b)(6).On (b)(6) 2025, a medical technologist splashed liquid in the eyes when throwing racks of qc materials in the trash bin.It was reported that roche reagents were also included on the rack.The rack hit the trash and liquid splashed back in their eyes.The medical technologist immediately went to the eyewash station for 10 minutes and then to the emergency department to check the eyes.The emergency department determined that there was no harm to the medical technologist and prescribed antibiotics for precautions.No additional medical attention was required.The following qc products were reported for this event: liquichek ethanol/ammonia control, lot: 54430, liquichek immunology control, lot: 85740, liquichek urine chemistry control, lot: 97450, liquichek cardiac troponins control, lot: 89091, liquichek cardiac troponins control, lot: 89092, liquichek cardiac troponins control, lot: 89093, liquid unassayed multiqual, lot: 56720, liquichek spinal fluid control, lot: 56540, lyphochek immunoassay plus control, lot: 40440.No safety glasses were worn at the time of the event.The employee and facility had product's instructions for use (ifu) and safety data sheet (sds) and were provided with certificate of analysis for all these products.

• Brand Name: LIQUID UNASSAYED MULTIQUAL TRILEVEL MINIPAK
• Common Device Name: Multi-analyte controls, all kinds (assayed)
• Manufacturer (Section D): BIO-RAD LABORATORIES, INC.; 9500 jeronimo road; irvine CA 92618 2017
• Manufacturer (Section G): BIO-RAD LABORATORIES, INC.; 9500 jeronimo road; irvine CA 92618 2017
• Manufacturer Contact: gabriela mclellan ; 9500 jeronimo road; irvine, CA 92618-2017 ; 9495981200
• MDR Report Key: 21565450
• Report Number: 2016706-2025-00004
• Device Sequence Number: 11855640
• Product Code: JJY
• UDI-Device Identifier: 00847661001935
• UDI-Public: 00847661001935
• Combination Product (Y/N): N
• Initial Reporter State: FL
• Initial Reporter Country: US
• PMA/510(K) Number: EXEMPT
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: User Facility
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial
• Report Date (Section B): 03/10/2025

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
• Operator of Device: Health Professional
• Device Expiration Date: 09/30/2025
• Device Catalogue Number: 698X
• Device Lot Number: 56720
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 02/12/2025
• Initial Report FDA Received Date: 03/10/2025
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 09/30/2022
• Is the Device Labeled for Single Use? (Y/N): No
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Unknown
• Patient Sequence Number: 1
• Patient Sex: Unknown