CLINIMACS CD34 REAGENT SYSTEM N/A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2016-05-23 for CLINIMACS CD34 REAGENT SYSTEM N/A manufactured by Miltenyi Biotec Gmbh.

Event Text Entries

[45702156] Device not returned to the manfuacturer.
Patient Sequence No: 1, Text Type: N, H10


[45702157] A clinimacs? Cd34 selection has been performed by the customer. In total 76. 4xl0e9 wbc (white blood cells) including 1. 8xl0e9 cd34 cells have been processed using one vial of clinimacs? Cd34 reagent and the enrichment program selection 1 applying the clinimacs? Tubing set. The cd34 yield after the selection was low. The customer stated that they used another tubing set to separate the cd34+ cells from the negative fraction bag. Therefore any risk for the patient could be ruled out.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3005290010-2016-00069
MDR Report Key5671276
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2016-05-23
Date of Report2016-05-20
Date of Event2016-04-26
Date Mfgr Received2016-04-06
Device Manufacturer Date2015-12-21
Date Added to Maude2016-05-23
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS NANCY JOHANSEN
Manufacturer Street85 HAMILTON ST
Manufacturer CityCAMBRIDGE MA 02139
Manufacturer CountryUS
Manufacturer Postal02139
Manufacturer Phone6172180062
Manufacturer G1MILTENYI BIOTEC GMBH
Manufacturer StreetFRIEDRICH-EBERT-STRASSE 68
Manufacturer CityBERGISCH GLADBACH, 51429
Manufacturer CountryGM
Manufacturer Postal Code51429
Single Use3
Remedial ActionNO
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCLINIMACS CD34 REAGENT SYSTEM
Generic NameCLINIMACS TUBING SET LS
Product CodeOVG
Date Received2016-05-23
Model NumberN/A
Catalog NumberN/A
Lot NumberNOT KNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMILTENYI BIOTEC GMBH
Manufacturer AddressFRIEDRICH-EBERT-STRASSE 68 BERGISCH GLADBACH, 51429 GM 51429


Patients

Patient NumberTreatmentOutcomeDate
10 2016-05-23

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