MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative report with the FDA on 2017-05-18 for CRYOMACS FREEZING BAG 50 N/A 200-074-400 manufactured by Miltenyi Biotec Gmbh.
[75522444]
Patient Sequence No: 1, Text Type: N, H10
[75522445]
The customer complained on a leakage at the 3-way connector of the filling assembly of a cryomacs freezing bag 50 which happened during transfer of the cord blood sample.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 3005290010-2017-00018 |
| MDR Report Key | 6576839 |
| Report Source | COMPANY REPRESENTATIVE |
| Date Received | 2017-05-18 |
| Date of Report | 2017-05-18 |
| Date of Event | 2017-04-20 |
| Date Mfgr Received | 2017-04-21 |
| Device Manufacturer Date | 2016-11-11 |
| Date Added to Maude | 2017-05-18 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MS NANCY JOHANSEN |
| Manufacturer Street | 120 BEACON ST SUITE 200 |
| Manufacturer City | SOMERVILLE MA 02143 |
| Manufacturer Country | US |
| Manufacturer Postal | 02143 |
| Manufacturer Phone | 6172180062 |
| Manufacturer G1 | MILTENYI BIOTEC GMBH |
| Manufacturer Street | FRIEDRICH-EBERT-STRASSE 68 |
| Manufacturer City | BERGISCH GLADBACH, 51429 |
| Manufacturer Country | GM |
| Manufacturer Postal Code | 51429 |
| Single Use | 3 |
| Remedial Action | RL |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | CRYOMACS FREEZING BAG 50 |
| Generic Name | CRYOMACS FREEZING BAG 50 |
| Product Code | LPZ |
| Date Received | 2017-05-18 |
| Model Number | N/A |
| Catalog Number | 200-074-400 |
| Lot Number | 6160718001 |
| Device Expiration Date | 2019-06-18 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | MILTENYI BIOTEC GMBH |
| Manufacturer Address | FRIEDRICH-EBERT-STRASSE 68 BERGISCH GLADBACH, 51429 GM 51429 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2017-05-18 |