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 2017-02-02 for SPS-1 manufactured by Organ Recovery Systems.

Event Text Entries

[66669315] Pt received a kidney transplant on (b)(6) 2016 that was presented in sps solution. Pt ended up with a fungal infection that resulted in losing the transplanted kidney. Reports to this facility stated that the sps solution was contaminated: "brief summary of report: cdc, hrsa, and fda are investigating bacterial contamination of sps-1, an organ preservation solution distributed by organ recovery systems (ors). Description: this is an update to an epi-x posted on (b)(6) 2017, which reported potential bacterial contamination in sps-1 lots pbr-0074-337, pbr-0060-386, pbr-0074-330, and pbr-0060-392. Fda's investigation of potential contamination of several lots of sps-1, manufactured by organ recovery systems (ors) is ongoing. We recommend that organ procurement organizations (opo) and transplant facilities should consider transitioning to alternate, fda-cleared organ preservation fluid products from other mfrs. "
Patient Sequence No: 1, Text Type: D, B5

MAUDE Entry Details

• Report Number: MW5067658
• MDR Report Key: 6303355
• Date Received: 2017-02-02
• Date of Report: 2017-02-02
• Date of Event: 2016-08-28
• Date Added to Maude: 2017-02-06
• Event Key: 0
• Report Source Code: Voluntary report
• Manufacturer Link: N
• Number of Patients in Event: 0
• Adverse Event Flag: 3
• Product Problem Flag: 0
• Reprocessed and Reused Flag: 3
• Health Professional: 3
• Initial Report to FDA: 3
• Report to FDA: 3
• Event Location: 3
• Single Use: 3
• Previous Use Code: 3
• Event Type: 3
• Type of Report: 3

Device Details

• Brand Name: SPS-1
• Generic Name: SPS-1
• Product Code: KDN
• Date Received: 2017-02-02
• Device Availability: N
• Device Eval'ed by Mfgr: I
• Device Sequence No: 1
• Device Event Key: 0
• Manufacturer: ORGAN RECOVERY SYSTEMS

Patients

Patient Number	Treatment	Outcome	Date
1	0	1. Hospitalization; 2. Other	2017-02-02