TRIMA ACCEL ENHANCED PLT, PLS, SET 80449

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2012-04-26 for TRIMA ACCEL ENHANCED PLT, PLS, SET 80449 manufactured by Caridianbct.

Event Text Entries

[2749138] The customer would like the run data file investigated to determine a possible cause for the elevated wbc content that was measured in the platelet product collection. There was not a transfusion recipient or pt info is reasonably known at the time of the event. Donor unit# (b)(6). The disposable kit will not be returned as it has been discarded. This report is being filed due to a device malfunction that has the potential for injury.
Patient Sequence No: 1, Text Type: D, B5


[9832382] (b)(4). The run data file (rdf) was analyzed. The analysis did not find a conclusive cause of the elevated wbc content reported for this collection. Signals in the run data file indicate it is possible, though not conclusive, that the plasma line may have been partially occluded near the end of the procedure. If the plasma line does not contribute properly to the platelet pump, it could cause the flow through the lrs chamber to be higher than the system expects, possibly allowing some wbcs to escape. Orientation of the hex in the hex holder may contribute to the above. Investigation eval and corrective actions are in process. A follow up report will be provided.
Patient Sequence No: 1, Text Type: N, H10


[10163817] (b)(4). This report is being filed to provide additional information. There were no events noted in the device history record (dhr) that would have contributed to the elevated wbc count experienced by the customer. Root cause: the rdf analysis did not find a conclusive cause of the elevated wbc content reported for this collection. Possible root causes were provided in the initial report for this event. Internal capas have been initiated to evaluate reports of elevated wbc counts.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1722028-2012-00251
MDR Report Key2557826
Report Source05
Date Received2012-04-26
Date of Report2012-03-30
Date of Event2012-02-21
Date Mfgr Received2012-09-12
Device Manufacturer Date2011-12-01
Date Added to Maude2012-09-14
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMATTHEW BICKFORD
Manufacturer Street10811 WEST COLLINS AVE.
Manufacturer CityLAKEWOOD CO 80215
Manufacturer CountryUS
Manufacturer Postal80215
Manufacturer Phone3032052494
Manufacturer G1GAMBRO BCT, INC.
Manufacturer Street10811 WEST COLLINS AVE.
Manufacturer CityLAKEWOOD CO 80215
Manufacturer CountryUS
Manufacturer Postal Code80215
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameTRIMA ACCEL ENHANCED PLT, PLS, SET
Generic NameAUTOMATED BLOOD CELL SEPARATED
Product CodeLNI
Date Received2012-04-26
Catalog Number80449
Lot Number12T1109
Device Expiration Date2013-12-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCARIDIANBCT
Manufacturer AddressLAKEWOOD CO 80215 US 80215


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2012-04-26

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