FDA Adverse Event Malfunction Summary report: N

ARTHREX ANGEL BMC KIT

MDR report key: 19522309 · Received June 12, 2024

Report

Report Number
1220246-2024-05641
Event Type
Malfunction
Date Received
June 12, 2024
Date of Event
March 23, 2022
Report Date
June 12, 2024
Manufacturer
ARTHREX, INC.
Product Code
ORG
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PL
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

THIS 3500A RECORD IS SUBMITTED TO COMPLY WITH AN FDA 483 INSPECTIONAL OBSERVATION ISSUED TO ARTHREX INC ON MAY 5, 2023.  ARTHREX HAS REASSESSED THE REPORTABILITY DECISIONS MADE ON HISTORICAL COMPLAINT RECORDS USING REVISED CRITERION. THIS 3500A DOCUMENT IS A RESULT OF THE REASSESSMENT. THE COMPLAINT DEVICE WAS NOT RECEIVED FOR EVALUATION. BASED ON THE DEVICE DAMAGE THAT WAS REPORTED, THE MOST LIKELY CAUSE FOR THE REPORTED FAILURE CAN BE ATTRIBUTED TO MISUSE/MISHANDLING.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A BMC PREPARATION WITH AN ANGEL SYSTEM DURING BONE MARROW ASPIRATION PROCESS A PART OF THE DEVICE BROKE OFF. THE SURGERY WAS FINISHED SUCCESSFULLY WITH A DIFFERENT DEVICE (OTHER TROCAR) BY SWITCHING THE SURGICAL TECHNIQUE. IT WAS NOT NECESSARY TO DO A SECOND SURGERY. UPDATE AVOE 11-APR-2022 IT WAS CONFIRMED THAT THE CONNECTOR DIDN`T KEEP UNDER PRESSURE EVEN AFTER CHANGING THE SYRINGE. UPDATE AVOE 12-APR-2022 IT WAS FURTHER CONFIRMED THAT NO PART OF THE DEVICE BROKE OFF. A SMALL CRACK CAUSED THE PRESSURE ERROR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
183513 ARTHREX ANGEL BMC KIT PLATELET AND PLASMA SEPARATOR ORG ARTHREX, INC. ARTHREX ANGEL BMC KIT 1243115316

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown