ACP?215 AUTOMATED CELL PROCESSOR 02215-220-E

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,user facility report with the FDA on 2016-09-06 for ACP?215 AUTOMATED CELL PROCESSOR 02215-220-E manufactured by Haemonetics Corp.

Event Text Entries

[53945028] A haemonetics field service engineer (fse) evaluated the device. Several procedures were completed with no issues. The fse was not able to confirm the reported defect. The device was put through diagnostic testing and all tests were within manufacturer specifications. The evaluation of the bowl has not been completed. A supplemental report will be sent once the investigation is final.
Patient Sequence No: 1, Text Type: N, H10


[53945029] Haemonetics received a report stating that on (b)(6) 2016 during use of the acp5 automated cell processor, the operator experienced a very noisy bowl during process. The customer states the bowl was apparently properly installed, no leak, no alarm. The user was sent to ent emergency service, with tinnitus, pain, deafness. Symptoms lasted 9-12 hours. Corticoid treatment was prescribed. Following the incident, the operator developed a cold resulting in an ear infection which made the initial symptoms worse and slowed the recovery process. As of (b)(6) 2016, the operator had made a full recovery with no permanent results.
Patient Sequence No: 1, Text Type: D, B5


[59984891] The bowl that was used in the reported issue was returned for testing. The bowl passed spin testing through all cycles per haemonetics standard procedures. With the bowl properly aligned and fully seated in the centrifuge chuck, the bowl functioned as intended with no functional defects found. The bowl had no audible noise and maintained its initial seating in the centrifuge chuck throughout the entire simulated procedure. Dimensions critical to the bowl maintaining seating in the centrifuge chuck were measured to specifications and the bowl body and center register were within tolerance. The visual inspection found the bowl had heavy abrasions on the seal crown and header shield skirt. The abrasions indicate that the bowl was improperly seated or poorly aligned in the centrifuge, causing the header shield skirt to come in contact with the seal crown. Abrasions occurred by the bowl spinning while the header shield skirt and seal crown were in contact with each other. Although abrasions on the bowl were found, the functional testing could not replicate this defect and the complaint is not confirmed.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1219343-2016-00060
MDR Report Key5928900
Report SourceFOREIGN,USER FACILITY
Date Received2016-09-06
Date of Report2016-08-09
Date of Event2016-07-28
Date Mfgr Received2016-11-14
Device Manufacturer Date2007-09-28
Date Added to Maude2016-09-06
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS JULIE SMITH, RN
Manufacturer Street400 WOOD RD
Manufacturer CityBRAINTREE MA 02184
Manufacturer CountryUS
Manufacturer Postal02184
Manufacturer Phone7819170643
Manufacturer G1HAEMONETICS CORP
Manufacturer Street400 WOOD RD
Manufacturer CityBRAINTREE MA 02184
Manufacturer CountryUS
Manufacturer Postal Code02184
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameACP?215 AUTOMATED CELL PROCESSOR
Generic NameACP215
Product CodeKSW
Date Received2016-09-06
Returned To Mfg2016-08-18
Catalog Number02215-220-E
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerHAEMONETICS CORP
Manufacturer Address400 WOOD RD BRAINTREE MA 02184 US 02184


Patients

Patient NumberTreatmentOutcomeDate
12351. Required No Informationntervention 2016-09-06

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