FDA Adverse Event Malfunction Summary report: N

CRYOCYTE, 50 ML W/LBL PKT.

MDR report key: 1418656 · Received April 1, 2009

Report

Report Number
1416980-2009-00015
Event Type
Malfunction
Date Received
April 1, 2009
Date of Event
March 4, 2009
Report Date
April 1, 2009
Manufacturer
BAXTER HEALTHCARE - MOUNTAIN HOME
Product Code
KSR
PMA / PMN Number
BK950049
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

AN ASSESSMENT OF THE CASE IS ONGOING. A FOLLOW-UP REPORT WILL BE SUBMITTED UPON ITS COMPLETION.

Description of Event or Problem · 1

THIS IS A REPORT RECEIVED BY BAXTER IN 2009, FROM A CUSTOMER. THE SAME DAY, THE CUSTOMER OBSERVED THAT ONE UNIT OF CRYOCYTE, 50 ML W/LBL PKT. (CODE R4R9951, BATCH H08E23045) SHOWED A STAR-SHAPED CRACK. THE BAG WAS FOUND IN THE MVE CRYO-PRESERVATION SYSTEM. THIS CRACK WAS NOT OBSERVED AFTER COMPUTER-CONTROLLED FREEZING. THE CUSTOMER PUT 7 ML IN THIS BAG. NO CLINICAL IMPACT ON THE PT AND/OR USER WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CRYOCYTE, 50 ML W/LBL PKT. 81KSR KSR BAXTER HEALTHCARE - MOUNTAIN HOME H08E23045

Patients

Seq Age Sex Outcome Treatment
1