EPICEL AU201

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-05-29 for EPICEL AU201 manufactured by Vericel Corporation.

Event Text Entries

[146475820] This spontaneous report was received from a company representative on (b)(6) 2019, concerning a (b)(6) year-old female patient, who experienced fatal organ failure for an unspecified period of time after being grafted with cultured epidermal autografts (epicel) with lot number ee02285. The patient was grafted four times: (b)(6) 2018 (96 units), (b)(6) 2018 (96 units), (b)(6) 2018 (96 units), (b)(6) 2018 (48 units), (b)(6) 2018 (96 units). The relevant medical history and concomitant medication details were not reported. On (b)(6) 2018, at 11:56 am the biopsy was harvested. On an unspecified date, the patient experienced organ failure after being treated with epicel. Further details including a description of clinical presentations, signs, symptoms, diagnostic tests, and baseline data and diagnosis were not provided. On (b)(6) 2019, after 161 days of the fifth grafting, the patient expired due to organ failure. The qc sterility test was performed and results of pre-release sample type (b)(4) was passed and sterility test results of final product sample type (b)(4) was also reported as passed. Environmental results included personal monitoring of manufacturing which had passed with grade a and grade b parameters and personnel monitoring of qc sterility which had also passed with grade a parameters. The quality control assay was reviewed which included (b)(4) graft inspection assay, (b)(4) dual stain assay, and (b)(4) endotoxin assay, all were reported as passed. The outcome of the event of organ failure was fatal on (b)(6) 2019, 161 days after the last epicel graft and 445 days after the first epicel graft. The autopsy results were not provided. The causal relationship of the event of organ failure to epicel was not provided by the reporting physician. The company assessed the events of organ failure as related to epicel. This report qualified for 30-day report as the event contributed to the death of the patient.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1226230-2019-00004
MDR Report Key8652422
Date Received2019-05-29
Date of Report2019-05-13
Date Mfgr Received2019-05-13
Date Added to Maude2019-05-29
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 ContactLIZ GREKAS
Manufacturer Street64 SIDNEY STREET
Manufacturer CityCAMBRIDGE MA 02139
Manufacturer CountryUS
Manufacturer Postal02139
Manufacturer Phone6175885623
Manufacturer G1VERICEL CORPORATION
Manufacturer Street64 SIDNEY STREET
Manufacturer CityCAMBRIDGE MA 02139
Manufacturer CountryUS
Manufacturer Postal Code02139
Single Use0
Previous Use Code0
Event Type3
Type of Report0

Device Details

Brand NameEPICEL
Generic NameEPICEL CULTURED EPIDERMAL AUTOGRAFTS
Product CodeOCE
Date Received2019-05-29
Model NumberAU201
Lot NumberEE02285
Device Expiration Date2018-02-19
Device AvailabilityN
Device Sequence No1
Device Event Key0
ManufacturerVERICEL CORPORATION
Manufacturer AddressCAMBRIDGE MA MA US


Patients

Patient NumberTreatmentOutcomeDate
101. Death 2019-05-29

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