FDA Adverse Event Malfunction Summary report: N

PLASMAFLOW

MDR report key: 21434226 · Received February 21, 2025

Report

Report Number
3011767724-2025-00002
Event Type
Malfunction
Date Received
February 21, 2025
Date of Event
October 10, 2024
Report Date
February 20, 2025
Manufacturer
MANAMED
Product Code
JOW
PMA / PMN Number
K160318
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

THE INVESTIGATION INTO THE REPORTED ISSUE WITH THE PLASMAFLOW DEVICE IS ONGOING. AT THIS TIME, THE DEVICE HAS NOT BEEN RETURNED DESPITE A REQUEST FOR ITS RETURN. A FOLLOW-UP INTERVIEW IS PLANNED WITHIN THE NEXT 60 DAYS. FURTHER UPDATES WILL BE PROVIDED AS MORE INFORMATION BECOMES AVAILABLE.

Description of Event or Problem · 0

THE PLASMAFLOW DEVICE (MODEL: PF0001, LOT #101301, (B)(6) WAS REPORTED TO HAVE OVERHEATED DURING USE, CAUSING A BURN MARK ON THE PATIENT'S LEG IN THE SHAPE OF THE BATTERY PACK. THE PATIENT USED THE PLASMAFLOW DEVICE FOR 14 DAYS POST-SURGERY BEFORE REPORTING THAT THE DEVICE OVERHEATED AND CAUSED A VISIBLE BURN INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1706614 PLASMAFLOW INTERMITTENT COMPRESSION SLEEVE JOW MANAMED PF0001 PO-101301

Patients

Seq Age Sex Outcome Treatment
1 NA Female Other