*

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2004-04-01 for * manufactured by Zlb Plasma Services.

Event Text Entries

[321139] Consumer reports that while donating plasma at a local plasma center they were splattered with blood from another pt that was seated near them. Blood made contact with the consumer's arm in which they were donating from and also on their clothing. Pt is concerned that they may be in danger of contracting a disease from this incident, as well as concerns about how this could happen at a plasma facility.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW4003701
MDR Report Key526453
Date Received2004-04-28
Date of Report2004-04-01
Date Added to Maude2004-05-26
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 FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand Name*
Generic NameBLOOD/PLASMA PRODUCT
Product CodeKST
Date Received2004-04-01
Model Number*
Catalog Number*
Lot Number*
ID Number*
Device Availability*
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key515617
ManufacturerZLB PLASMA SERVICES
Manufacturer Address215 ASSEMBLY ST COLUMBIA SC 292014240 US


Patients

Patient NumberTreatmentOutcomeDate
10 2004-04-28

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