MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 00,01,02,03,05 report with the FDA on 2009-05-01 for CELSIOR (ORGAN PRESERVATION SOLUTION) SOLUTION FOR ORGAN PRESERVATION manufactured by Genzyme Polyclonals S.a.s.
[17466221]
Hepatic artery thrombosis [hepatic artery thrombosis]. Liver graft loss [liver graft loss]. Air embolism [air embolism]. Case description: report received on 06 mar 2009 from an unpublished literature report. This is a literature report entitled, "celsior preservation fluid in liver transplantation: results of a prospective, multicenter study. Grandadam s et al. " the literature describes a one-year, prospective, centers, study to assess the results from a total pts who received donor livers for which recovery was performed using celsior solution. Data compared liver allograft outcomes following graft recovery with celsior or university of wisconsin (uw) preservation fluids. The article describes 14 pts across transplant centers in france that experienced adverse events with celsior. The male liver transplant pt received a liver transplant in 2003. The pt's medical history was significant for hepatic artery thrombosis and alagille's syndrome. On the next day, one day after celsior exposure, the pt experienced recurrence of hepatic arterial thrombosis. Donor recovery was performed by the conventional technique. Donor livers were perfused in situ by gravity with celsior solution at 4 degrees c. When only aortic annulation was used, 4l celsior solution was rapidly perfused through the aorta at the beginning of the procedure. Where both aortic and mesenteric vein cannulation were used, 2l was perfused through each route. A further 1l was perfused slowly during the recovery procedure. The biliary tract was rinsed ex situ with an additional 100ml. During storage, the liver was completely immersed in at least 1l solution and maintained at 4 degrees c until transplantation. Transplantation was performed by the piggyback technique i. E preserving the retrohepatic vena cava. Portal, arterial, and biliary anastomoses were performed according to the local expertise of each center. Immediately prior to revascularization, the liver was washed with 500ml of 4% human albumin solution at 4 degrees c via the portal vein. The rewarming period was defined as the time which elapsed between portal vein declamping and arterial declamping. The pt's hepatic arterial thrombosis was treated with three interventions of anastomosis. No blood flow was noted. On two days later, the pt received an emergency second liver transplant due to the recurrence of the hepatic artery thrombosis. A week later, 10 days after the first transplant, the pt experienced air embolism. Three days later, the pt expired. Concomitant medications at the time of the events included ciclosporin and corticosteroids. It was the opinion of the authors that hepatic artery thrombosis and graft loss were possibly related to celsior, and air embolism was unrelated to celsior.
Patient Sequence No: 1, Text Type: D, B5
[17684261]
Mfr's comment: the accompanying unpublished literature article summarizes the results of a study conducted by a group of investigators independent of genzyme. Upon request, the authors of the literature article provided a tabular listing of celsior adverse events that provided individual pt identifiers. Seven of the cases described had previously been reported to genzyme during the course of the study. The authors concluded that this prospective, multicenter study suggests that liver preservation with celsior is efficient and safe. The benefit-risk relationship of celsior is not affected by this report. Journal: unpublished literature. Author: grandadam et al. Title: celsior preservation fluid in liver transplantation: results of a prospective, multicenter study.
Patient Sequence No: 1, Text Type: N, H10
| Report Number | 2950168-2009-00004 |
| MDR Report Key | 1374453 |
| Report Source | 00,01,02,03,05 |
| Date Received | 2009-05-01 |
| Date of Report | 2009-03-06 |
| Date of Event | 2003-07-09 |
| Date Mfgr Received | 2009-03-06 |
| Date Added to Maude | 2009-05-11 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 0 |
| Initial Report to FDA | 0 |
| Report to FDA | 3 |
| Event Location | 0 |
| Manufacturer Contact | WYTSKE KINGMA, MD |
| Manufacturer Street | 675 W KENDALL ST |
| Manufacturer City | CAMBRIDGE MA 02139 |
| Manufacturer Country | US |
| Manufacturer Postal | 02139 |
| Manufacturer Phone | 8007454447 |
| Manufacturer G1 | GENZYME POLYCLONALS S.A.S |
| Manufacturer Street | 58 AVENUE DEBOURG |
| Manufacturer City | LYON |
| Manufacturer Country | FR |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | CELSIOR (ORGAN PRESERVATION SOLUTION) SOLUTION FOR ORGAN PRESERVATION |
| Generic Name | ORGAN PRESERVATION SOLUTION |
| Product Code | MSB |
| Date Received | 2009-05-01 |
| Model Number | NA |
| Catalog Number | NA |
| Lot Number | UNK |
| ID Number | UNK |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Age | DA |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | GENZYME POLYCLONALS S.A.S |
| Manufacturer Address | LYON FR |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Death; 2. Life Threatening | 2009-05-01 |