FDA Adverse Event
Malfunction
Summary report: N
HCLL TRANSFUSION
MDR report key: 10689592
·
Received October 16, 2020
Report
- Report Number
- 10689592
- Event Type
- Malfunction
- Date Received
- October 16, 2020
- Date of Event
- September 22, 2020
- Report Date
- September 28, 2020
- Manufacturer
- WELLSKY CORPORATION
- Product Code
- MMH
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MO
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
THE (B)(4) SOFTWARE IS CONFIGURED TO PRODUCE AN ERROR BOX WHEN ABO INCOMPATIBLE UNITS ARE CROSSMATCHED. THE MESSAGE THAT SHOULD DISPLAY IN THE BOX IS 'THIS PRODUCT IS NOT ALLOWED FOR SELECTION WITH OVERRIDE.' THIS ERROR BOX NOR DID THE MESSAGE DISPLAY IN THIS INSTANCE WHICH ALLOWED THE UNIT OF RED BLOOD CELLS TO BE LINKED TO THE PATIENT FOR ISSUE AND TRANSFUSION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1157542 | HCLL TRANSFUSION | BLOOD ESTABLISHMENT COMPUTER SOFTWARE AND ACCESSORIES | MMH | WELLSKY CORPORATION | 2015.1.1.7 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 24820 DA |