3ME-SC203A TSCDII 110V 3MESC203A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2017-12-29 for 3ME-SC203A TSCDII 110V 3MESC203A manufactured by Terumo Bct.

Event Text Entries

[96235241] Investigation: the customer stated that they performed 10 seals on the tubing line, however, black 'burn' marks were observed on the 3rd seal and was unable to complete the 7th seal due to error alarms. The tscdii device was returned to terumo bct for repair and investigation. A service technician visually inspected the device and noticed that the wafer cartridge was in the jammed position. The service technician carefully pryed the cartridge out and was unable to duplicate the reported condition. Simulated use testing was performed using the tscdii device. While providing multiple samples of burned welds and wafers, it was confirmed that the same wafer was being used over and over again causing burning of weld and wafer. Upon visual inspection, it was observed that one sample wafer had extreme corrosion while setting in the cartridge. It would have been the first in the cartridge at the open end. This may have been a problem and caused the block of wafers to stick and not advance while holding down the wafer cartridge switch. The service technician made many welds before the 30 test welds needed to perform a weld integrity test. No errors occurred. The cartridge was changed and additional 4 welds. The tscdii was returned to the customer and the customer installed the tscdii device. Investigation is in process. A follow-up report will be provided.
Patient Sequence No: 1, Text Type: N, H10


[96235242] The customer reported that while sealing the tubing line using the trima sealer (tscdii)device, they received multiple error alarms including 'defective wafer, press reset' alarm and observed black 'burn' marks on the tubing line. The trima device was returned for repair and evaluation. Upon evaluation of the device, the terumo bct service technician discovered that multiple welds were made from a single-use wafer. Patient information is not available at this time.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1722028-2017-00521
MDR Report Key7154098
Report SourceHEALTH PROFESSIONAL
Date Received2017-12-29
Date of Report2017-12-29
Date of Event2017-11-16
Date Mfgr Received2018-03-15
Device Manufacturer Date2017-03-20
Date Added to Maude2017-12-29
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 Name3ME-SC203A TSCDII 110V
Generic NameTSCDII 110V
Product CodeKSB
Date Received2017-12-29
Model Number3MESC203A
ID Number05020583300033
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 2017-12-29

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