FDA Adverse Event
Injury
Summary report: N
SERAPH 100
MDR report key: 21956868
·
Received May 4, 2025
Report
- Report Number
- 3014015528-2025-00020
- Event Type
- Injury
- Date Received
- May 4, 2025
- Report Date
- May 2, 2025
- Manufacturer
- EXTHERA MEDICAL CORPORATION
- Product Code
- QLO
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MN, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
THE REPORTER RECOGNIZED THAT THE DEVICE WAS USED ON A PEDIATRIC PATIENT, WHICH IS OFF-LABEL, AND THAT MAY HAVE CONTRIBUTED THE EVENT.
Description of Event or Problem · 0
PATIENT RECEIVED THREE SEPARATE SERAPH 100 TREATMENTS IN CONJUNCTION WITH ECMO AND CRRT (PRISMAFLEX HF 1000 SET) ON DAYS 39, 40, AND 42 AFTER AUTOLOGOUS HEMATOPOIETIC CELL TRANSPLANTATION (HCT) (EACH SERAPH TREATMENT LASTING 24 HOURS, OR 68 HOURS TOTAL). CITRATE USED AT 150 ML/HOUR AND BLOOD FLOW RATE SET TO 150 ML/MIN. NOTE THAT HEPARIN AND BIVALIRUDIN WERE NOT USED BECAUSE SIGNIFICANT AUTO-ANTICOAGULATION WAS OBSERVED BEFORE TREATMENT. PATIENT EXPERIENCED INTERMITTENT BRADYCARDIA 3H AFTER START OF 2ND TREATMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 474791 | SERAPH 100 | SERAPH 100 | QLO | EXTHERA MEDICAL CORPORATION | 50001-EUA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 18 MO | Male | Other | ANTIVIRAL VALGANCICLOVIR| CEFEPIME| CIDOFOVIR| CITRATE| CRRT PRISMAFLEX HF1000 SET| ECMO| EMAPALUMAB AND ECULIZUMAB| GANCICLOVIR| IV DEXAMETHASONE| WEEKLY IV IMMUNOGLOBULIN |