FDA Adverse Event
Malfunction
Summary report: N
RESERVOIR HARD SHELL 20 CELL SAVER
MDR report key: 21560324
·
Received March 10, 2025
Report
- Report Number
- MW5167450
- Event Type
- Malfunction
- Date Received
- March 10, 2025
- Date of Event
- February 19, 2025
- Report Date
- March 4, 2025
- Manufacturer
- HAEMONETICS CORPORATION
- Product Code
- CAC
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- US
- Reporter Occupation
- UNKNOWN
- Health Professional
- *
Narratives
Description of Event or Problem · 0
CELL SAVER MADE NOISE DURING PROCEDURE AND AFTER FURTHER INVESTIGATION, THE BOWL IN THE CELL SAVER WAS CRACKED. THIS PREVENTED THE SURGEON FROM USING THE CELL SAVER. ON (B)(6) 2025, 73 YO FEMALE, RIGHT TOTAL HIP ARTHROPLASTY ANTERIOR APPROACH PMH = ARRHYTHMIA, ARTHRITIS, DIABETES MELLITUS, DISEASE OF THYROID GLAND. THE SMALL BOWLS WITH THEIR SPECIFIC DEFECT, WILL CRACK IN ANY OF THE CELL SAVERS - RESERVOIR HARD SHELL 20 CELL SAVER 00220-00 NO HARM TO PATIENT, REPORTED TO MANUFACTURER (HAEMONETICS CORPORATION) - SERIAL NUMBER (B)(6) LAST IN-SERVICE DATE = (B)(6) 2025.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 339629 | RESERVOIR HARD SHELL 20 CELL SAVER | APPARATUS, AUTOTRANSFUSION | CAC | HAEMONETICS CORPORATION | 00220-00 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |