HARVEST TERUMO 51422

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-10-07 for HARVEST TERUMO 51422 manufactured by Terumo Bct.

Event Text Entries

[90055681] Additional product code: fmf investigation: the harvest disposable set was unavailable for return and investigation. The harvest disposable set contain multiple components that have various expiry dates. The outer set label contains the expiry date associated with the component that has the shortest expiry timeframe. Based on the information stated on the shipping slip, the use of an expired set was confirmed. Investigation is in process. A follow-up report will be provided.
Patient Sequence No: 1, Text Type: N, H10


[90055682] Upon review of the information provided by the distributor, it was discovered that an expired bone marrow aspirate concentrate (bmac) disposable was used on a patient. The bmac disposable set was labeled with an expiration date of 09/01/2017. The blood was processed and the bmac product was administered to the patient on (b)(6) 2017. Patient? S information is not available at this time. Patient outcome is not available at this time. The bmac set is not available for return because it was discarded by the customer.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1722028-2017-00392
MDR Report Key6926614
Date Received2017-10-07
Date of Report2017-10-06
Date of Event2017-09-11
Date Mfgr Received2017-11-10
Device Manufacturer Date2016-10-01
Date Added to Maude2017-10-07
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 NameBMAC2 60-01, BONE MARROW ASPIRATE CONCENTRATE PROCEDUR
Product CodeJQC
Date Received2017-10-07
Catalog Number51422
Lot Number10Z9935
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
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 2017-10-07

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