HARVEST TERUMO SMP211500

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 2017-07-21 for HARVEST TERUMO SMP211500 manufactured by Terumo Bct.

Event Text Entries

[80927177] Additional product code: fmf. Investigation: the machine was returned to terumo bct for repair and investigation. A service technician visually inspected the device and confirmed that the lid latch was out of adjustment. A new latch and magnet plate was installed and the lid latch was realigned. A simulated use test was performed and confirmed that the lid stayed closed through three full cycles. The machine is functioning within specification. Investigation is in process. A follow-up report will be provided.
Patient Sequence No: 1, Text Type: N, H10


[80927178] The customer reported that during a procedure, the lid of a smart prep centrifuge would not stay closed. There was not a donor or patient involved at the time of the procedure, therefore no patient information is reasonably known at the time of the event.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1722028-2017-00298
MDR Report Key6732163
Report SourceCOMPANY REPRESENTATIVE
Date Received2017-07-21
Date of Report2017-07-21
Date of Event2017-06-28
Date Mfgr Received2017-10-19
Date Added to Maude2017-07-21
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactSTEVE KERN
Manufacturer Street10810 W. COLLINS AVE
Manufacturer CityLAKEWOOD CO 80215
Manufacturer CountryUS
Manufacturer Postal80215
Manufacturer Phone3032392246
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameHARVEST TERUMO
Generic NameHARVEST SMP2, 115V, 20/60 BW
Product CodeJQC
Date Received2017-07-21
Model NumberSMP211500
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerTERUMO BCT
Manufacturer AddressLAKEWOOD CO 80215 US 80215


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-07-21

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