CELSIOR

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 2014-08-25 for CELSIOR manufactured by Genzyme Polyclonals S. A. S..

Event Text Entries

[4866460] Based on add'l info received on august 20, 2014, this case initially processed as a rumor case of unspecified pts is now processed as an individual pt case. This unsolicited device case from united states was received on (b)(6) 2014 from a physician. This case has been cross referred with (b)(4). This case concerns a pt of unk demographics who had graft failure after the use of celsior organ preservation solution (celsior). No relevant medical histories, past drugs, concurrent conditions or concomitant medications were reported for any of the pts. On an unk date, the pt underwent heart transplant during which celsior organ preservation solution, solution for organ preservation (lot / batch number and expiration date: unk) was used for organ preservation. It was reported that the pt had difficulty in coming off the by-pass machine in the operation room and "primary graft failure" was seen in these 6-7 pts. It was also reported that, cluster of about 10 heart transplant were done and 5 of those ended with primary graft failures (4 out of 5 graft failures resulted in death. It was reported that heart grafts had failed over the period since 2013. No corrective treatment was reported. Outcome: unk. Seriousness criteria: medically significant. A pharmaceutical technical complaint (ptc) was initiated and results were pending for the same. Add'l info was received on august 20, 2014 from the physician and the case was updated from rumor case to an individual pt case. The event onset date was added and the seriousness criteria was updated from important medical event to medically significant. Text amended accordingly.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2950168-2014-62235
MDR Report Key4060403
Report Source05
Date Received2014-08-25
Date of Report2014-05-06
Date Mfgr Received2014-08-20
Date Added to Maude2014-09-05
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMICHAEL MURPHY
Manufacturer Street55 CORPORATE DRIVE MAIL STOP: 55D-205A
Manufacturer CityBRIDGEWATER NJ 08807
Manufacturer CountryUS
Manufacturer Postal08807
Manufacturer Phone9089813633
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCELSIOR
Generic NameORGAN PRESERVATION SOLUTION
Product CodeMSB
Date Received2014-08-25
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device AgeDA
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerGENZYME POLYCLONALS S. A. S.
Manufacturer AddressLYON


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2014-08-25

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