FDA Adverse Event Malfunction Summary report: N

ORGANOX METRA

MDR report key: 19716911 · Received July 10, 2024

Report

Report Number
3011560054-2024-00064
Event Type
Malfunction
Date Received
July 10, 2024
Date of Event
June 15, 2024
Report Date
July 10, 2024
Manufacturer
ORGANOX LIMITED
Product Code
QQK
UDI-DI
05060462240005
PMA / PMN Number
P200035
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

SERVICE ENGINEER (SE) EVALUATED THE DEVICE AT THE CUSTOMER SITE. THE REPORTED ISSUE COULD NOT BE REPLICATED. NO ISSUES WITH THE OXYGEN DELIVERY SYSTEM WERE OBSERVED. DEVICE PASSED FUNCTIONAL TESTING.

Description of Event or Problem · 0

THE DEVICE USER (DU) REPORTED ERROR 410 WAS OBSERVED AT THE START OF PERFUSION. TROUBLESHOOTING WAS COMPLETED. THE GAS CONNECTOR CONNECTION WAS QUERIED. WHEN IT WAS RECONNECTED THE PO2 IMPROVED TO EXPECTED RANGE BUT O2% REMAINED HIGH. TWO AND ONE HALF HOURS LATER ERROR 410 RETURNED AND TROUBLESHOOTING WAS REPEATED WITH VERY SLOW IMPROVEMENT IN PO2.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2384758 ORGANOX METRA NORMOTHERMIC MACHINE PERFUSION SYSTEM FOR THE PRESERVATION OF DONOR LIVERS PRIOR QQK ORGANOX LIMITED 05060462240005

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown