LIPOSORBER LA-15 SYSTEM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-12-16 for LIPOSORBER LA-15 SYSTEM manufactured by Kaneka Corp..

Event Text Entries

[62677736] It is known that rare but some patients may develop iron deficiency anemia during repetitive ldl-apheresis (ldl-a) procedures due to cumulative blood loss by the residual blood in the extracorporeal circuit and blood sampling for chemistry in every ldl-a procedure. It is presumed that this particular patient developed and worsened anemia in the similar circumstances. The ifu of the hud liposorber la-15 provides information about anemia saying that "on the occurrence of anemia, it can be minimized by the supplementation of iron. " however, an anemia is likely multifactorial in etiology, related to medications, chronic disease, malnutrtion, and ongoing nephrosis, and the contribution of the ldl-a procedure to this patient's anemia is not surely confirmed. According to the physician in charge, the patient had received a total of 17 ldl-a procedures as of the date of this event and the patient's clinical response to the treatment had been so far good, and accordingly, the ldl-a on this patient would be continued weekly or biweekly basis. His anemia is ameliorated in grade2 in the end of (b)(6). This report is delayed because it was sent to the emdr test instead of production.
Patient Sequence No: 0, Text Type: N, H10


[62677737] The patient is a (b)(6) boy who has been treated by the ldl-apheresis with liposorber la-15 system approved as a humanitarian use device (hud) for his treatment of recurrent nephrotic syndrome associated with focal segmental glomerulosclerosis (fsgs) post renal transplantation. He has developed anemia and received exogenous erythropoietin but this was not optimally effective. After his 17th treatments with the ldl-apheresis, his anemic condition worsened into grade3 anemia (his hemoglobin level fell below 7g/dl) and required a prbc transfusion.
Patient Sequence No: 0, Text Type: D, B5


MAUDE Entry Details

Report Number9614654-2015-00015
MDR Report Key6183186
Date Received2016-12-16
Date of Report2015-11-20
Date of Event2015-10-20
Date Mfgr Received2015-11-22
Date Added to Maude2016-12-16
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR KAZUHIKO INOUE
Manufacturer Street2-3-18 NAKANOSHIMA,KITA-KU
Manufacturer CityOSAKA 530-8288
Manufacturer CountryJA
Manufacturer Postal530-8288
Manufacturer Phone4613072
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameLIPOSORBER LA-15 SYSTEM
Generic NameAPHERESIS FOR FOCAL GLOMERULOSCLEROSIS IN PEDIATRIC PATIENTS
Product CodePBN
Date Received2016-12-16
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No0
Device Event Key0
ManufacturerKANEKA CORP.
Manufacturer Address2-3-18,NAKANOSHIMA,KITA-KU OSAKA 530-8288 JA 530-8288


Patients

Patient NumberTreatmentOutcomeDate
001. Required No Informationntervention 2016-12-16

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