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 |