FDA Adverse Event
Malfunction
Summary report: N
30 - 70 ML CELL FREEZE CRYOGENIC STORAGE CONTAINER
MDR report key: 10583752
·
Received September 24, 2020
Report
- Report Number
- 1066733-2020-00012
- Event Type
- Malfunction
- Date Received
- September 24, 2020
- Date of Event
- June 29, 2020
- Report Date
- September 24, 2020
- Manufacturer
- CHARTER MEDICAL, LTD.
- Product Code
- LPZ
- PMA / PMN Number
- BK100049
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- 501
Narratives
Additional Manufacturer Narrative · 1
THE COMPLAINT SAMPLE WAS NOT RETURNED FOR INVESTIGATION. THE USER PROVIDED A PICTURE, WHICH INDICATED A POSSIBLE FILM CRACK BELOW ONE OF THE BAG PORTS.
Description of Event or Problem · 1
THE USER REPORTED A CRYO BAG BREAK DURING THE THAWING PROCESS. A FILM CRACK WAS REPORTED AT THE BASE OF A BAG PORT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1044687 | 30 - 70 ML CELL FREEZE CRYOGENIC STORAGE CONTAINER | 30 - 70 ML CELL FREEZE CRYOGENIC STORAGE CONTAINER | LPZ | CHARTER MEDICAL, LTD. | CF-250 | 159202 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 60 YR |