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 2017-01-31 for SPS-1 manufactured by Organ Preservation Systems.

Event Text Entries

[66329054] Recipient received organ that had been preserved in sps-1 preservation fluid, distributed by (b)(4). Recipient later was re-admitted with sepsis, hypotension, and expired. Strength: unk. Route: other, preservation fluid. Therapy date: (b)(6) 2016. Diagnosis or reason for use: organ preservation.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5067558
MDR Report Key6292707
Date Received2017-01-31
Date of Report2017-01-30
Date of Event2017-01-15
Date Added to Maude2017-02-01
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
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 Details

Brand NameSPS-1
Generic NameSPS-1
Product CodeKDN
Date Received2017-01-31
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerORGAN PRESERVATION SYSTEMS


Patients

Patient NumberTreatmentOutcomeDate
101. Death 2017-01-31

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