MAUDE MDR 390980

MDR report key
390980
Report number
1225520-2002-00001
Event key
0
Event type
3
Date of event
2002-03-26
Date received
2002-04-24
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
JOHN BONASERA, DIRECTOR
Address
40 GRISSOM RD. SUITE 100 PLYMOUTH MA 02360 US
Phone
508-508-5087
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1SMARTPREP PC SYSTEMCENTRIFUGE (BLOOD PROCESSING)HARVEST TECHNOLOGIESJQCSMP 1000SMP 1000 PRP-1UNK. FOR DISPOSABLEN*R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12002-04-2401. O

Event Narratives#

D

Patient 1

PROCESS DISPOSABLE CRACKED DURING CENTRIFUGATION ALLOWING BLOOD TO LEAK INTO CENTRIFUGE WELL. BLOOD WAS CONTAINED WITHIN CENTRIFUGE CHAMBER. NO INJURY TO OPERATOR OR PT RESULTED. INCIDENT DID NOT RESULT IN EXPOSURE AS DEFINED BY OSHA.