FDA Adverse Event
Malfunction
Summary report: N
CRYOMACS FREEZING BAG 250
MDR report key: 11397424
·
Received March 2, 2021
Report
- Report Number
- 3005290010-2021-00004
- Event Type
- Malfunction
- Date Received
- March 2, 2021
- Date of Event
- December 24, 2020
- Report Date
- March 1, 2021
- Manufacturer
- MILTENYI BIOTEC B.V. & CO. KG
- Product Code
- KSR
- UDI-DI
- 04049934000287
- PMA / PMN Number
- BK090020
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SI
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
THE CUSTOMER REPORTED A CRYOMACS FREEZING BAG 250 (200-074-401; 7200500219) THAT BROKE DURING THAWING. THE PATIENT WAS TREATED WITH BACKUP MATERIAL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 299394 | CRYOMACS FREEZING BAG 250 | CRYOMACS FREEZING BAG 250 | KSR | MILTENYI BIOTEC B.V. & CO. KG | 7200500219 | 04049934000287 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |