PEAR PLATELET RICH PLASMA SYSTEM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-11-02 for PEAR PLATELET RICH PLASMA SYSTEM manufactured by Depuy Synthes Mitek Sports Medic.

Event Text Entries

[30643395] I received a prp injection in both knees at (b)(6). They used the peak platelet rich plasma system (510k clearance on march 25, 2014: bk130053) to produce a 3cc aliquot of prp from 27cc of my blood (plus 3cc of anticoagulant) - she did this twice, one for each knee. The tech performed the automated separation in front of me and she appeared to follow the manufacturer's instructions for this automated device. The resultant 3cc injections were red in color, not yellow; and i subsequently did not notice any benefit from these injections. I don't know how the 510k application could claim this device produces plasma (platelet-enriched or otherwise) when the resultant liquid is red instead of yellow. According to the physician, he spoke to the rep before my next injection, but the rep could offer no insight. Consequently, my last prp injections were done using other technology - which resulted in liquid that actually looked like plasma, and the injections seemed to have the desired effect.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5057693
MDR Report Key5204282
Date Received2015-11-02
Date of Report2015-11-02
Date of Event2015-09-15
Date Added to Maude2015-11-05
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NamePEAR PLATELET RICH PLASMA SYSTEM
Generic NamePEAR PLATELET RICH PLASMA SYSTEM
Product CodeKSS
Date Received2015-11-02
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerDEPUY SYNTHES MITEK SPORTS MEDIC


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2015-11-02

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