SPS-1

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-12-14 for SPS-1 manufactured by Organ Recovery System.

Event Text Entries

[62802313] During the organ recovery process on a (b)(6)/f, it was noticed that there was a foul odor coming from the preservation solution used during the recovery process. The lungs had been recovered and were already transplanted when this was discovered. The preservation solution was sent for gram stain and cultures, and initial reports from the gram stain indicated many gram positive cocci, many gram negative rods, moderate gram positive rods. At that time, the transplant of the liver, kidney, and kidney/pancreas was stopped. The lungs were flushed with a different preservation solution and had already been transplanted. The lung team was notified of the gram stain results, and the abdominal organs were discarded. Dose or amount: 1000 ml millilitre(s), 2000 ml millilitre(s), route: intravenous. Therapy dates: (b)(6) 2016, diagnosis or reason for use: organ recovery.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5066727
MDR Report Key6180858
Date Received2016-12-14
Date of Report2016-12-13
Date of Event2016-12-12
Date Added to Maude2016-12-16
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Sequence Number: 1

Brand NameSPS-1
Generic NameSPS-1
Product CodeKDL
Date Received2016-12-14
Returned To Mfg2016-12-13
Lot NumberPBR-0060-392
Device Expiration Date2018-06-30
Device AvailabilityR
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerORGAN RECOVERY SYSTEM

Device Sequence Number: 2

Brand NameSPS-1
Generic NameSPS-1
Product CodeKDL
Date Received2016-12-14
Lot NumberPBR-0074-330
Device Expiration Date2018-07-31
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No2
Device Event Key0
ManufacturerORGAN RECOVERY SYSTEM


Patients

Patient NumberTreatmentOutcomeDate
10 2016-12-14

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