CRYOMACS FREEZING BAG 250 N/A 200-074-401

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative report with the FDA on 2017-04-06 for CRYOMACS FREEZING BAG 250 N/A 200-074-401 manufactured by Miltenyi Biotec Gmbh.

Event Text Entries

[71902279] Device not returned to the manufacturer.
Patient Sequence No: 1, Text Type: N, H10


[71902280] The customer reported that while frozen or during thawing two cryomacs? Freezing bags 250 (cfb), the cfbs got broken and leaked therefore. The customer stated that they were able to transplant the patient with sufficient cellular material. Therefore, any risk for the patient could be actually ruled out. Engraftment and sterility testing is still pending.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3005290010-2017-00009
MDR Report Key6464445
Report SourceCOMPANY REPRESENTATIVE
Date Received2017-04-06
Date of Report2017-04-05
Date of Event2017-03-06
Date Mfgr Received2017-03-07
Device Manufacturer Date2011-10-20
Date Added to Maude2017-04-06
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS NANCY JOHANSEN
Manufacturer Street120 BEACON ST SUITE 200
Manufacturer CitySOMERVILLE MA 02143
Manufacturer CountryUS
Manufacturer Postal02143
Manufacturer Phone6172180062
Manufacturer G1MILTENYI BIOTEC GMBH
Manufacturer StreetFRIEDRICH-EBERT-STRASSE 68
Manufacturer CityBERGISCH GLADBACH, 51429
Manufacturer CountryGM
Manufacturer Postal Code51429
Single Use3
Remedial ActionRL
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCRYOMACS FREEZING BAG 250
Generic NameCRYOMACS FREEZING BAG 250
Product CodeLPZ
Date Received2017-04-06
Model NumberN/A
Catalog Number200-074-401
Lot Number6110927002
Device Expiration Date2014-10-31
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMILTENYI BIOTEC GMBH
Manufacturer AddressFRIEDRICH-EBERT-STRASSE 68 BERGISCH GLADBACH, 51429 GM 51429


Patients

Patient NumberTreatmentOutcomeDate
10 2017-04-06

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