FDA Adverse Event Other Summary report: N

TRIMA ACCEL PLT, PLS, RBC SET

MDR report key: 2121953 · Received June 1, 2011

Report

Report Number
1722028-2011-00152
Event Type
Other
Date Received
June 1, 2011
Date of Event
May 3, 2011
Report Date
May 7, 2011
Manufacturer
CARIDIANBCT
Product Code
LKN
PMA / PMN Number
BK100032
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

(B)(4). INVESTIGATION EVALUATION AND CORRECTIVE ACTIONS ARE IN-PROGRESS. A FOLLOW-UP REPORT WILL BE PROVIDED.

Description of Event or Problem · 1

THE CUSTOMER ALLEGES THAT THE PLATELET PRODUCT HAD AN ELEVATED WBC COUNT AND THE TRIMA ACCEL SYSTEM DID NOT FLAG THE PRODUCT TO BE COUNTED FOR WBCS. THE CUSTOMER REQUESTED THAT THE RUN DATA FILE BE INVESTIGATED TO DETERMINE A POSSIBLE CAUSE FOR THE ELEVATED WBC CONTENT IN THE PLATELET PRODUCT. NO MEDICAL INTERVENTION WAS REQUIRED FOR THE DONOR. THE DISPOSABLE SET WAS DISPOSED OF AND IS NOT AVAILABLE FOR RETURN. THIS REPORT IS BEING FILED DUE TO THE POTENTIAL FOR INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TRIMA ACCEL PLT, PLS, RBC SET SEPARATOR, AUTOMATED, BLOOD CELL AND PL LKN CARIDIANBCT UNK

Patients

Seq Age Sex Outcome Treatment
1 76 YR Other