FDA Adverse Event Other Summary report: N

TRIMA ACCEL ENH PLT, PLS, RBC, AUTO RBC SET

MDR report key: 2210052 · Received July 27, 2011

Report

Report Number
1722028-2011-00255
Event Type
Other
Date Received
July 27, 2011
Date of Event
June 24, 2011
Report Date
July 1, 2011
Manufacturer
CARIDIANBCT
Product Code
LKN
PMA / PMN Number
BK100032
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). INVESTIGATION: THE RUN DATA FILE (RDF) WAS ANALYZED. THE SIGNALS IN THE RDF INDICATE THAT THE TRIMA ACCEL SYSTEM OPERATED AS INTENDED. THE SIGNALS DO NOT INDICATE A CLEAR CAUSE FOR THE HIGHER THAN EXPECTED PLASMA PRODUCT VOLUME. IT CANNOT BE CONFIRMED THROUGH RDF ANALYSIS, BUT IT IS POSSIBLE THAT THE PLASMA LINE COULD HAVE BEEN SEALED OR CLAMPED DURING RINSEBACK, BEFORE PLASMA RINSEBACK HAD STARTED. THIS COULD RESULT IN A HIGHER THAN EXPECTED PLASMA PRODUCT VOLUME. INVESTIGATION EVAL AND CORRECTIVE ACTIONS ARE IN-PROCESS. A FOLLOW-UP REPORT WILL BE PROVIDED.

Description of Event or Problem · 1

THE CUSTOMER REQUESTED THAT THE RUN DATA FILE BE INVESTIGATED TO DETERMINE A POSSIBLE CAUSE FOR THE HIGHER THAN EXPECTED PLASMA PRODUCT VOLUME. NO MEDICAL INTERVENTION WAS NECESSARY. THE DISPOSABLE SET IS NOT AVAILABLE FOR RETURN AS IT WAS DISCARDED AT THE CUSTOMER SITE. THIS REPORT IS BEING FILED DUE TO THE POTENTIAL FOR INJURY FROM HYPOVOLEMIA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TRIMA ACCEL ENH PLT, PLS, RBC, AUTO RBC SET AUTOMATED BLOOD CELL SEPARATOR LKN CARIDIANBCT 04T3208

Patients

Seq Age Sex Outcome Treatment
1 56 YR