SPECTRA OPTIA 12220

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 2020-02-03 for SPECTRA OPTIA 12220 manufactured by Terumo Bct.

Event Text Entries

[186020911] Manufacture date, expiry date and lot number are not available at this time. Investigation: a terumo bct service technician checked out the machine at the customer site. An autotest and saline run were completed successfully. The machine met all manufacturer's specifications. Investigation is in process. A follow-up report will be provided.
Patient Sequence No: 1, Text Type: N, H10


[186020912] The customer reported receiving the alarm "cells were detected in plasma line from centrifuge" and seeing pink- tinged plasma in the connector and plasma line during a red blood cell exchange (rbcx) procedure on a sickle cell patient. The machine was paused, and the physician was called. The physician at the site stated that the reason of discolored plasma is because the many antibodies that the patient has and that it was very hard to find the compatible units. Per the physician's order, a second unit was set up for a second attempt. Pink plasma was seen again on the second attempt. The machine was paused again, and the doctor ordered a test for transfusion reaction/hemolysis and ordered to stop the rbcx procedure. Test results are not available at this time. The patient was able to go home after the labs were drawn. Red blood cell replacement volume during first procedure: 140ml, lot no. 1911133230 red blood cell replacement volume during second procedure: 95ml, lot no. 1909183130 patient identifier and age are not available at this time. The rbcx sets are not available for return because they were discarded by the customer.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1722028-2020-00047
MDR Report Key9661384
Report SourceHEALTH PROFESSIONAL
Date Received2020-02-03
Date of Report2020-02-03
Date of Event2020-01-10
Date Mfgr Received2020-02-10
Date Added to Maude2020-02-03
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 ContactSCOT HILDEN
Manufacturer Street10810 W COLLINS AVE
Manufacturer CityLAKEWOOD CO 80215
Manufacturer CountryUS
Manufacturer Postal80215
Manufacturer Phone3032314970
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSPECTRA OPTIA
Generic NameSPECTRA OPTIA EXCHANGE SET
Product CodeLKN
Date Received2020-02-03
Catalog Number12220
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 2020-02-03

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