FDA Adverse Event
Malfunction
Summary report: N
XVIVO ORGAN CHAMBER
MDR report key: 14140108
·
Received April 19, 2022
Report
- Report Number
- 3007710603-2022-00001
- Event Type
- Malfunction
- Date Received
- April 19, 2022
- Report Date
- April 7, 2022
- Manufacturer
- XVIVO PERFUSION AB
- Product Code
- PHO
- UDI-DI
- 07350069520074
- PMA / PMN Number
- P180014
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
MALFUNCTION ACCORDING TO THE REPORTER THREE DEVICES WITH UNSEALED STERILE BARRIER WERE FOUND AT USER FACILITY QUALITY INSPECTION WHEN RECEIVING THE GOODS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1089619 | XVIVO ORGAN CHAMBER | ORGAN CHAMBER | PHO | XVIVO PERFUSION AB | 19020 | 13801 | 07350069520074 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |