HARVEST TERUMO APC20I

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,05,foreign,health professi report with the FDA on 2015-04-21 for HARVEST TERUMO APC20I manufactured by Terumo Bct.

Event Text Entries

[5666837] The customer reported that after opening a harvest terumo platelet concentrate procedure pack, it was noticed that the expiry date on the label of a bottle of anti-coagulant (ac) was 02/2015. The pack's outer carton was labeled with an expiry date of 2016. The customer had two further packs with the same expiry dates on the ac and the carton in their inventory. The packs were not used. The disposable pack is not available for return because it was discarded by the customer. Due to eu personal data protection laws, the patient information is not available from the customer.
Patient Sequence No: 1, Text Type: D, B5


[13243097] Investigation is in process. A follow-up report will be provided.
Patient Sequence No: 1, Text Type: N, H10


[29923701] Investigation: the disposable sets were unavailable for return for analysis. It is possible that the customer discarded the original outer packaging which contains the set expiry information. Root cause: a definitive root cause could not be determined. The disposable set was unavailable for return and root cause investigation. It is possible that the outer kit packaging was discarded, prior to use, which contained the correct kit expiry information, based on the shortest component expiration date.
Patient Sequence No: 1, Text Type: N, H10


[50864107] This record was identified during a retrospective review of mdrs to identify records in which an event occurred, but the type of reportable event was not indicated.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1722028-2015-00149
MDR Report Key4714193
Report Source01,05,FOREIGN,HEALTH PROFESSI
Date Received2015-04-21
Date of Report2015-03-27
Date of Event2015-03-27
Date Mfgr Received2016-07-29
Date Added to Maude2015-04-22
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 FDA3
Event Location3
Manufacturer ContactGLENDA O'NEILL
Manufacturer Street10811 W. COLLINS AVE
Manufacturer CityLAKEWOOD CO 80215
Manufacturer CountryUS
Manufacturer Postal80215
Manufacturer Phone3032314051
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHARVEST TERUMO
Generic NameAUTOLOGOUS PLATELET CONCENTRATE PROCEDURE PACK
Product CodeORG
Date Received2015-04-21
Catalog NumberAPC20I
Lot Number609654
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerTERUMO BCT
Manufacturer AddressLAKEWOOD CO 80215 US 80215


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2015-04-21

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