FDA Adverse Event Malfunction Summary report: N

RIKA

MDR report key: 21834320 · Received April 14, 2025

Report

Report Number
1722028-2025-00089
Event Type
Malfunction
Date Received
April 14, 2025
Date of Event
March 21, 2025
Report Date
April 14, 2025
Manufacturer
TERUMO BCT
Product Code
GKT
UDI-DI
05020583212008
PMA / PMN Number
BK241097
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS REPORT IS BEING FILED TO PROVIDE ADDITIONAL INFORMATION IN A.2, A.3, A.4, B.5, E.1 H.6, H.11 AND CORRECTIONS IN D.9 AND E.1 INVESTIGATION: A TERUMO BCT SERVICE TECHNICIAN CHECKED OUT THE MACHINE AT A CUSTOMER SITE AND PERFORMED A FLUID TEST PERFORMED THAT PASSED, DEVICE IS WORKING AS INTENDED. INVESTIGATION IS IN PROCESS, A FOLLOW-UP REPORT WILL BE PROVIDED.

Additional Manufacturer Narrative · 0

THIS REPORT IS BEING FILED TO PROVIDE ADDITIONAL INFORMATION IN A.1, H.6 AND H.11 AND CORRECTIONS IN D.1, D.2A, D.4, AND H.4. INVESTIGATION: A TERUMO BCT SERVICE TECHNICIAN CHECKED OUT THE MACHINE AT A CUSTOMER SITE AND PERFORMED A FLUID TEST PERFORMED THAT PASSED, DEVICE IS WORKING AS INTENDED. A REVIEW OF THE DEVICE HISTORY RECORD (DHR) FOR THIS UNIT SHOWED NO IRREGULARITIES DURING MANUFACTURING THAT WERE RELEVANT TO THIS ISSUE. INVESTIGATION IS IN PROCESS, A FOLLOW-UP REPORT WILL BE PROVIDED.

Additional Manufacturer Narrative · 0

THIS REPORT IS BEING FILED TO PROVIDE ADDITIONAL INFORMATION IN H.6 AND H.11. INVESTIGATION: A TERUMO BCT SERVICE TECHNICIAN CHECKED OUT THE MACHINE AT A CUSTOMER SITE AND PERFORMED A FLUID TEST PERFORMED THAT PASSED, DEVICE IS WORKING AS INTENDED. A REVIEW OF THE DEVICE HISTORY RECORD (DHR) FOR THIS UNIT SHOWED NO IRREGULARITIES DURING MANUFACTURING THAT WERE RELEVANT TO THIS ISSUE. A DISPOSABLE COMPLAINT HISTORY SEARCH WAS PERFORMED FOR THIS LOT AND THERE WERE NO OTHER REPORTS FOR SIMILAR ISSUES ON THIS LOT. THE RUN DATA FILE (RDF) WAS ANALYZED FOR THIS EVENT. REVIEW INDICATED POSSIBLE SOME LOW LEVEL, HEMOLYSIS COULD HAVE BEEN OCCURRING THROUGHOUT THE RUN BASED ON THE REDTRANS HOLDING STEADY THROUGHOUT THE PROCEDURE AND THE BLUETRANS DROPPING EACH DRAW. ADDITIONALLY, THE HEMOLYSIS ALARM DID NOT OCCUR, BECAUSE IT DOESN¿T MEET OUR ALARM AND HEMOLYSIS SAFETY THRESHOLDS. INVESTIGATION IS IN PROCESS, A FOLLOW-UP REPORT WILL BE PROVIDED.

Additional Manufacturer Narrative · 0

THIS REPORT IS BEING FILED TO PROVIDE ADDITIONAL INFORMATION IN D.4, B.5, B.7, H.6 AND H.11 AND CORRECTION IN A.4, D.1, H.5 AND H.8. INVESTIGATION: A TERUMO BCT SERVICE TECHNICIAN CHECKED OUT THE MACHINE AT A CUSTOMER SITE AND PERFORMED A FLUID TEST PERFORMED THAT PASSED, DEVICE IS WORKING AS INTENDED. A REVIEW OF THE DEVICE HISTORY RECORD (DHR) FOR THIS UNIT SHOWED NO IRREGULARITIES DURING MANUFACTURING THAT WERE RELEVANT TO THIS ISSUE. A DISPOSABLE COMPLAINT HISTORY SEARCH WAS PERFORMED FOR THIS LOT AND THERE WERE NO OTHER REPORTS FOR SIMILAR ISSUES ON THIS LOT. THE RUN DATA FILE (RDF) WAS ANALYZED FOR THIS EVENT. REVIEW INDICATED POSSIBLE SOME LOW LEVEL, HEMOLYSIS COULD HAVE BEEN OCCURRING THROUGHOUT THE RUN BASED ON THE REDTRANS HOLDING STEADY THROUGHOUT THE PROCEDURE AND THE BLUETRANS DROPPING EACH DRAW. ADDITIONALLY, THE HEMOLYSIS ALARM DID NOT OCCUR, BECAUSE IT DOESN¿T MEET OUR ALARM AND HEMOLYSIS SAFETY THRESHOLDS. ROOT CAUSE: A ROOT CAUSE ASSESSMENT WAS PERFORMED FOR THIS COMPLAINT. BASED ON THE AVAILABLE INFORMATION, A DEFINITIVE ROOT CAUSE FOR HEMOLYSIS COULD NOT BE DETERMINED BUT IT IS LIKELY DUE TO ONE OR A COMBINATION OF THE POSSIBLE CAUSES LISTED BELOW: ¿ DONOR PHYSIOLOGY SUCH AS ICTERIC PLASMA OR LIPEMIC PLASMA. ¿ USER LOADING ERRORS THAT CAUSE OCCLUSIONS ¿ MANUFACTURING ERRORS THAT CAUSE DISPOSABLE OCCLUSIONS CORRECTION: IT WAS DETERMINED THAT THE CUSTOMER WAS NOT AWARE OF THE KNOWLEDGE ARTICLE FOR SUSPECTED HEMOLYSIS FROM TBCT, WHICH INSTRUCTS THEM TO KEEP THE DISPOSABLES SET. THE TECHNICIAN PROVIDED THE KNOWLEDGE ARTICLE TO THE CENTER MANAGER AND HE INDICATED HE WILL PASS THIS ALONG TO THE REST OF THE CENTER AND ENSURE THAT THIS PROCESS IS FOLLOWED MOVING FORWARD.

Additional Manufacturer Narrative · 0

INVESTIGATION: A TERUMO BCT SERVICE TECHNICIAN CHECKED OUT THE MACHINE AT A CUSTOMER SITE AND PERFORMED A FLUID TEST PERFORMED THAT PASSED, DEVICE IS WORKING AS INTENDED. INVESTIGATION IS IN PROCESS; A FOLLOW-UP REPORT WILL BE PROVIDED.

Additional Manufacturer Narrative · 0

THIS REPORT IS BEING FILED TO PROVIDE ADDITIONAL INFORMATION IN H.6 AND H.11. INVESTIGATION: A TERUMO BCT SERVICE TECHNICIAN CHECKED OUT THE MACHINE AT A CUSTOMER SITE AND PERFORMED A FLUID TEST PERFORMED THAT PASSED, DEVICE IS WORKING AS INTENDED. A REVIEW OF THE DEVICE HISTORY RECORD (DHR) FOR THIS UNIT SHOWED NO IRREGULARITIES DURING MANUFACTURING THAT WERE RELEVANT TO THIS ISSUE. INVESTIGATION IS IN PROCESS, A FOLLOW-UP REPORT WILL BE PROVIDED.

Description of Event or Problem · 0

CUSTOMER REPORTED SUSPECTED HEMOLYSIS ON A RIKA DEVICE. PATIENT ID IS UNKNOWN AT THIS TIME. PER CUSTOMER "HE WAS FINE" THE COLLECTION SET IS NOT AVAILABLE FOR RETURN BECAUSE IT WAS DISCARDED BY THE CUSTOMER.

Description of Event or Problem · 0

CUSTOMER REPORTED SUSPECTED HEMOLYSIS ON A RIKA DEVICE. PER THE CUSTOMER, "HE WAS FINE" THE COLLECTION SET IS NOT AVAILABLE FOR RETURN BECAUSE IT WAS DISCARDED BY THE CUSTOMER.

Description of Event or Problem · 0

CUSTOMER REPORTED SUSPECTED HEMOLYSIS ON A RIKA DEVICE. PER THE CUSTOMER, "HE WAS FINE" THE COLLECTION SET IS NOT AVAILABLE FOR RETURN BECAUSE IT WAS DISCARDED BY THE CUSTOMER.

Description of Event or Problem · 0

THE CUSTOMER REPORTED SUSPECTED HEMOLYSIS ON A RIKA DEVICE. NO HEMOLYSIS TESTING WAS PERFORMED. PER THE CUSTOMER, THEY GAVE THE DONOR A SODIUM DRINK (ORAL FLUIDS) AND SAT FOR 15 MINUTES. HE WAS REPORTED AS "FINE". FOLLOW-UP WITH THE DONOR YIELDED THAT HE DIDN¿T HAVE ISSUES AND ¿HIS BILATERAL AC WERE CLEAR¿. THE COLLECTION SET IS NOT AVAILABLE FOR RETURN BECAUSE IT WAS DISCARDED BY THE CUSTOMER.

Description of Event or Problem · 0

CUSTOMER REPORTED SUSPECTED HEMOLYSIS ON A RIKA DEVICE. PATIENT INFORMATION AND OUTCOME ARE UNKNOWN AT THIS TIME.

Description of Event or Problem · 0

CUSTOMER REPORTED SUSPECTED HEMOLYSIS ON A RIKA DEVICE. PATIENT ID IS UNKNOWN AT THIS TIME. PER CUSTOMER "HE WAS FINE" THE COLLECTION SET IS NOT AVAILABLE FOR RETURN BECAUSE IT WAS DISCARDED BY THE CUSTOMER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
989591 RIKA RIKA PLASMA SEPARATION SET GKT TERUMO BCT 42000 2412123261 05020583212008

Patients

Seq Age Sex Outcome Treatment
1 41 YR Male Other