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