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

[62669501] On the previous day of the event ldl-apheresis with the concerned device was completed without any complication. Next day, the patient completed hemodialysis and spent hours in his patient's room normally before the event occurred. Then, the patient suddenly lost consciousness and entered into cardiopulmonary arrest. Therefore, it is speculated that sudden death occurred after some catastrophic events. No information about the cause of death of the patient was provided. On fsgs, the causes of death in general are reported as follows: malignant tumors for 1. 4%, infectious disease for 0. 7%, abdominal aortic aneurysm-rupture for 0. 4%, heart failure for 0. 4%, and sudden death for 0. 4%. (the japanese journal of nephrology, vol. 44, pp 751-761, 2002. ) although the physician in charge commented that ldl-apheresis could not be relevant to the patient's death, we cannot completely exclude a possibility that ldl-apheresis and/or hemodialysis is relevant to the catastrophic events occurred.
Patient Sequence No: 1, Text Type: N, H10


[62669502] A maintenance hemodialysis patient with new-onset of focal glomerulosclerosis (fsgs). No other complications were observed. As steroid was not effective on fsgs, ldl-apheresis therapy using the liposorber a-15 system was commenced. On (b)(6) his 8th ldl-apheresis was conducted. On (b)(6) he underwent hemodialysis without any complication, returned to his patient's room and took a meal. He had a conversation normally, although he confessed slightly ill. Then, he suddenly lost consciousness at 15:30, and suffered cardiopulmonary arrest. He recovered once after resuscitation, but died at 16:07.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9614654-2016-00001
MDR Report Key6183187
Date Received2016-12-16
Date of Report2015-12-09
Date of Event2015-12-04
Date Mfgr Received2015-12-09
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 Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR KAZUHIKO INOUE
Manufacturer Street2-3-18, NAKANOSHIMA,KITA-KU
Manufacturer CityOSAKA-CITY 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 NameLIPOPROTEIN, LOW DENSITY, REMOVAL
Product CodeMMY
Date Received2016-12-16
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerKANEKA CORP.
Manufacturer Address2-3-18,NAKANOSHIMA,KITA-KU OSAKA 530-8288 JA 530-8288


Patients

Patient NumberTreatmentOutcomeDate
101. Death 2016-12-16

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