HEMOCONCENTRATOR BC 60 PLUS, BC 140 PLUS 70100.2497

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-03-05 for HEMOCONCENTRATOR BC 60 PLUS, BC 140 PLUS 70100.2497 manufactured by Maquet Cardiopulmonary Ag.

Event Text Entries

[141478255] (b)(4). A follow-up medwatch will be submitted when additional information becomes available. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[141478256] During the scheduled surgery, the customer detected the blood leaking at the drainage side. During the extracorporeal circulation, it was observed that the color of the filtrated liquid was turning red as soon as the filtration started. The color of the filtrated liquid was getting darker (redder) and the blood leak was confirmed. A replacement was used to complete the procedure. No adverse effects on the patient. (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number8010762-2019-00061
MDR Report Key8389990
Date Received2019-03-05
Date of Report2019-07-31
Date of Event2019-01-29
Date Mfgr Received2019-07-02
Date Added to Maude2019-03-05
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer StreetMAQUET CARDIOPULMONARY AG KEHLER STRASSE 31
Manufacturer City76437 RASTATT
Manufacturer CountryGM
Manufacturer Phone4972229321
Manufacturer G1BERND RAKOW
Manufacturer StreetMAQUET CARDIOPULMONARY AG KEHLER STRASSE 31
Manufacturer City76437 RASTATT
Manufacturer CountryGM
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameHEMOCONCENTRATOR BC 60 PLUS, BC 140 PLUS
Generic NameRESTRAINT, WHEELCHAIR, NON-PROTECTIVE
Product CodeKID
Date Received2019-03-05
Model NumberBC 140 PLUS
Catalog Number70100.2497
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerMAQUET CARDIOPULMONARY AG
Manufacturer AddressRASTATT GM


Patients

Patient NumberTreatmentOutcomeDate
10 2019-03-05

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