TRANSFER PACK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-06-16 for TRANSFER PACK manufactured by Fenwall.

Event Text Entries

[5873822] While processing a cellular therapy product, a 600 ml fenwall transfer pack (code: (b)(4) lot: fa14d15079) broke and donor cells leaked out.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5043181
MDR Report Key4859449
Date Received2015-06-16
Date of Report2015-06-16
Date of Event2015-06-02
Date Added to Maude2015-06-23
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
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
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameTRANSFER PACK
Generic NameTRANSFER PACK
Product CodeKSR
Date Received2015-06-16
Lot NumberFA14D15079
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerFENWALL
Manufacturer AddressUS


Patients

Patient NumberTreatmentOutcomeDate
10 2015-06-16

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