HARVEST TERUMO 51404

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-01-05 for HARVEST TERUMO 51404 manufactured by Terumo Bct.

Event Text Entries

[96747645] Investigation is in-process. A follow-up report will be provided.
Patient Sequence No: 1, Text Type: N, H10


[96747646] Terumo bct's sale representative reported a needle stick injury that occurred after a plateletrich plasma (prp) training session. While cleaning up post procedure, he got poked by the contaminated needle. Per terumo bct's internal procedure, he followed the medical protocol for needlestick injury. Patient's (operator) age and outcome are not available at this time. The harvest disposable 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 Number1722028-2018-00005
MDR Report Key7168579
Date Received2018-01-05
Date of Report2018-01-05
Date of Event2017-12-13
Date Mfgr Received2018-11-01
Date Added to Maude2018-01-05
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 NameAPC-30 PROCEDURE PACK
Product CodeORG
Date Received2018-01-05
Catalog Number51404
ID Number05020583514041
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; 2. Required No Informationntervention 2018-01-05

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