MAUDE Adverse Event Report: BIO-RAD LABORATORIES, INC. LIQUICHEK ETHANOL/AMMONIA CONTROL MINIPAK; Multi-analyte controls, all kinds (assayed)

Catalog Number	545X
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 liquichek ethanol/ammonia control indicates that caution should be used when handling this product to prevent splashing and instructs the user to wear appropriate eye/face protection when using this product to protect from splashes.The labeling and the safety data sheet (sds) contain the appropriate hazard warnings for 5-chloro-2-methyl-2h-isothiazol-3-one.The ifu also indicated that this product is prepared from bovine serum albumin and the certificate of analysis states that "the bovine source material(s) of this product is collected in usda licensed establishments.These animals received ante and post mortem inspection at the abattoir by a us veterinary service inspector".
Event or Problem Description
On february 12, 2025, a chemistry lab supervisor (b)(6) hospital, (b)(6) reported an eye splashing event on their colleague (b)(6) center in (b)(6).On february 10, 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 instructions for use (ifu) and safety data sheet (sds) and were provided with certificate of analysis for all these products.

• Brand Name: LIQUICHEK ETHANOL/AMMONIA CONTROL 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: 21565480
• Report Number: 2016706-2025-00001
• Device Sequence Number: 9262319
• Product Code: JJY
• UDI-Device Identifier: 00847661001850
• UDI-Public: 00847661001850
• Combination Product (Y/N): N
• Initial Reporter State: FL
• Initial Reporter Country: US
• PMA/510(K) Number: K955024
• 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: 11/30/2025
• Device Catalogue Number: 545X
• Device Lot Number: 54430
• 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: 12/31/2023
• 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