ELUTRA 70800

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-09-01 for ELUTRA 70800 manufactured by Terumo Bct.

Event Text Entries

[54463134] (b)(4). Investigation: the customer set up a new (unexpired) kit and continued with the procedure without incident. The elutra operator's manual directs the operator to check the expiration date on the disposable tubing set package, before loading the tubing set. No patient was involved and the product was not used. Terumo bct followed-up with thecustomer regarding the use of the expired set. The customer confirmed that no product was collected. The customer also said he checked his inventory for any other remaining unused expired kits to be discarded. The device history record (dhr) was reviewed for this lot. There were no issues noted in the dhr for this lot. Root cause: root cause was determined to be a user error in which the customer initially attempted to use an expired set.
Patient Sequence No: 1, Text Type: N, H10


[54463135] The customer reported that they received an alarm during a setup for an elutra procedure. While the operator was troubleshooting, he noticed the elutra set expired in june2015. The expired set was discarded and a new elutra set was setup for the procedure. This is a laboratory device. No patient was connected at the time of the event. No patient information is reasonably known. The elutra collection set is not available for return because it was discarded by the customer.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1722028-2016-00494
MDR Report Key5923339
Date Received2016-09-01
Date of Report2016-09-01
Date of Event2016-08-09
Date Mfgr Received2016-08-09
Device Manufacturer Date2014-07-15
Date Added to Maude2016-09-01
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 ContactMATTHEW BICKFORD
Manufacturer Street10810 W COLLINS AVE
Manufacturer CityLAKEWOOD CO 80215
Manufacturer CountryUS
Manufacturer Postal80215
Manufacturer Phone3032052494
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameELUTRA
Generic NameELUTRA SET
Product CodeKSS
Date Received2016-09-01
Catalog Number70800
Lot Number07W15290
Device Expiration Date2016-07-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerTERUMO BCT
Manufacturer AddressLAKEWOOD CO 80215 US 80215


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2016-09-01

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