MAUDE MDR 2627095

MDR report key
2627095
Report number
2435501-2012-00001
Event key
0
Event type
3
Date of event
2012-05-07
Date received
2012-06-21
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Contact
MELINDA BRYANT
Address
115 TREE ST. FLOWOOD MS 39232 US
Phone
855-855-8558
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1LIFETEC ELITE V1.0LIFETEC ELITE V1.0IT SYNERGISTICS, LLC.MMHNANANAY N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12012-06-210

Event Narratives#

D

Patient 1

A MAXIMUM TIME TO PREPARATION (MTP) HOLD WAS NOT APPLIED TO AN ORIGINAL APHERESIS PRODUCT WHEN THE "USE MFG PREP TIME" OPTION WAS ENABLED.

N

Patient 1

ALTHOUGH THE DATE OF THIS REPORT EXCEEDS THE 30-DAY REPORTING PERIOD FOR A MFR IN REFERENCE TO 803.50 SUBPART E, THE INITIAL EVAL OF THE ERROR WOULD NOT CONTRIBUTE TO DEATH OR SERIOUS INJURY. THIS REPORT IS IN RESPONSE TO THE INITIAL ERROR AND INVESTIGATION REPORTED BY THE BLOOD CONNECTION. CORRECTIVE ACTION: AN INVESTIGATION INTO THE MTP HOLD ROUTINE WAS COMPLETED BY IT SYNERGISTICS AND THE DEFECT WAS IDENTIFIED. A CORRECTION WAS NEEDED TO A SQL STORED PROCEDURE TO PREVENT THE ISSUE FROM RE-OCCURRING. THE SOFTWARE PATCH HAS BEEN TESTED SUCCESSFULLY INTERNALLY AND FOUND NO ERROR OR ANOMALIES DURING TESTING, AND SUBSEQUENTLY WAS RELEASED ON (B)(4) 2012 TO ALL FACILITIES.