SPECTRA OPTIA 10220

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 2020-03-06 for SPECTRA OPTIA 10220 manufactured by Terumo Bct.

Event Text Entries

[182287722] Investigation: per the customer, autopsy results are not available. The equipment was checked out by terumo bct technician. A visual inspection was performed and no problems found. A complete simulated saline run with a tpe set was performed with no problems with the run or the equipment. There is no problem found with the equipment. Equipment has been checked out and is ready to be placed back into service. Investigation is in process. A follow-up report will be provided.
Patient Sequence No: 1, Text Type: N, H10


[182287723] The customer reported that about 7 minutes into the therapeutic plasma exchange (tpe) procedure, the patient's temperature started to drop and then the blood pressure. They stopped the procedure and started to code the patient. The patient then expired. The customer does not suspect the device caused the event. The disposable set is not available for return because it was discarded by the customer. This report is being filed due the patient death, however, it is not alleged or suspected that the device caused or contributed to the patient death.
Patient Sequence No: 1, Text Type: D, B5


[182476372] Investigation is in process. A follow-up report will be provided.
Patient Sequence No: 1, Text Type: N, H10


[182476373] Patient id is not available at this time.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1722028-2020-00090
MDR Report Key9796558
Report SourceHEALTH PROFESSIONAL
Date Received2020-03-06
Date of Report2020-03-05
Date of Event2020-02-08
Date Mfgr Received2020-03-06
Device Manufacturer Date2019-12-12
Date Added to Maude2020-03-06
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
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
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 Received2020-03-06
Catalog Number10220
Lot Number1912123230
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 2020-03-06

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