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 |