FDA Adverse Event Malfunction Summary report: N

ORGANOX METRA

MDR report key: 19660380 · Received July 2, 2024

Report

Report Number
3011560054-2024-00063
Event Type
Malfunction
Date Received
July 2, 2024
Date of Event
June 3, 2024
Report Date
August 1, 2024
Manufacturer
ORGANOX LIMITED
Product Code
QQK
PMA / PMN Number
P200035
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

IT WAS CONFIRMED THAT THE LIVER WAS TRANSPLANTED SUCCESSFULLY.

Additional Manufacturer Narrative · 0

CONFIRMATION IF ANY HEALTH EFFECTS OCCURRED AS A RESULT OF THE INCIDENT. IS PENDING. A SERVICE ENGINEER (SE) EVALUATED THE DEVICE AT THE CUSTOMER SITE. THE SYRINGE DRIVER WAS CLEANED AND LUBRICATED. AFTWARDS, THE SYRINGE DRIVER PASSED FUNCTIONAL TESTING.

Description of Event or Problem · 0

THE DEVICE USER (DU) REPORTED HAVING A "BIT OF AN ISSUE WITH THE SYRINGE DRIVER THE OTHER NIGHT". SUBSEQUENTLY, IT WAS CONFIRMED THAT THE ISSUE EXPERIENCED BY THE DEVICE USER WAS THAT THE SYRINGE DRIVER BECAME STUCK. MESSAGE CODE 270 (SYRINGES NEED REPLACEMENT) DISPLAYED ON THE DEVICE WHEN THE EVENT OCCURRED. DU WAS ABLE TO CORRECT ISSUE TEMPORALLY BY RELEASING THE PIN AND RESETTING THE PLUNGER PLATE POSITION. THE SEIZED UP BLACK DIAL KNOB WAS THEN ABLE TO BE MOVED.

Description of Event or Problem · 0

THE DEVICE USER REPORTED HAVING A "BIT OF AN ISSUE WITH THE SYRINGE DRIVER THE OTHER NIGHT". SUBSEQUENTLY, IT WAS CONFIRMED THAT THE ISSUE EXPERIENCED BY THE DEVICE USER WAS THAT THE SYRINGE DRIVER BECAME STUCK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
800968 ORGANOX METRA NORMOTHERMIC MACHINE PERFUSION SYSTEM FOR THE PRESERVATION OF DONOR LIVERS PRIOR QQK ORGANOX LIMITED

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown