CLINIMACS PLUS INSTRUMENT N/A 151-01

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative report with the FDA on 2016-10-05 for CLINIMACS PLUS INSTRUMENT N/A 151-01 manufactured by Miltenyi Biotec Gmbh.

Event Text Entries

[56553192] The customer provided photographs of the clinimacs? Plus instrument with the clinimacs depletion tubing set in order to demonstrate the unusually high volumes of both the target cell bag and the waste bag. Furthermore the process code (b)(64) was also sent to miltenyi biotec (b)(4) for further investigation as well as the analysis of the cellular material prior and after cell separation. Based on the data provided it can be stated that: the process code did not provide any deviations within the complained cell processing procedure. The photographic inspection did also not provide any irregularities. The investigation of the analysis data of the cellular material separated did not demonstrate abnormal results. Therefore it can be assumed that the failure resulted from a malfunction of the clinimacs? Plus instrument itself. It can be speculated that it might be a defect of a pinch valve. A concrete root cause couldn't be identified. No obvious deviations were found from the data inspection. Therefore, the instrument service of the distributor (b)(4) is asked to send a service technician to the customer to provide the outstanding instrument check and to send the outstanding information also to miltenyi biotec (b)(4), instrument service and complaint handling department.
Patient Sequence No: 1, Text Type: N, H10


[56553193] The customer informed their distributor (b)(4), as well as the miltenyi biotec hotline and complained about unusually high volumes of both the target cell bag and the waste bag within a tcra/b depletion sequence using a clinimacs? Plus instrument. The distributor (b)(4) stated further that the customer did concentrate the cellular material by centrifugation and therefore, it could be assumed indirectly that the patient was treated thereafter.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3005290010-2016-00093
MDR Report Key5999824
Report SourceCOMPANY REPRESENTATIVE
Date Received2016-10-05
Date of Report2016-10-04
Date of Event2016-09-06
Date Mfgr Received2016-09-06
Date Added to Maude2016-10-05
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 ActionIN
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCLINIMACS PLUS INSTRUMENT
Generic NameCLINIMACS PLUS INSTRUMENT
Product CodeOVG
Date Received2016-10-05
Model NumberN/A
Catalog Number151-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMILTENYI BIOTEC GMBH
Manufacturer AddressFRIEDRICH-EBERT-STRASSE 68 BERGISCH GLADBACH, 51429 GM 51429


Patients

Patient NumberTreatmentOutcomeDate
10 2016-10-05

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