FDA Adverse Event Malfunction Summary report: N

BOEKEL BLOOD COLLECTION MIXER

MDR report key: 23051238 · Received September 15, 2025

Report

Report Number
23051238
Event Type
Malfunction
Date Received
September 15, 2025
Date of Event
April 16, 2025
Report Date
August 7, 2025
Manufacturer
BOEKEL SCIENTIFIC.
Product Code
KSQ
Product Problem
Yes
Report Source
User Facility report
Reporter Location
CA
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Description of Event or Problem · 0

BLOOD SCALE W/ [WITH] SERIAL NUMBER [REDACTED], BIO MED NUMBER 10001773 USED FOR TP [TRANSFUSION PROTOCOL]. CALIBRATED AND TARED PER PROTOCOL. AS BLOOD STARTED TO FLOW EVERYTHING APPEARED NORMAL UNTIL BAG SEEMED TO LOOK LIKE IT WAS CLOSE TO 500 BUT SCALE WAS READING 340ML. CALLED OVER RN [REDACTED] TO GET HER OPINION. GRABBED SECOND SCALE TO CHECK IF WEIGHT WAS THE SAME AT THIS POINT THE FIRST SCALE WAS READING 425ML. PAUSED SCALE AND PLACED BAG ON SECOND SCALE WHICH READ 660ML.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2519136 BOEKEL BLOOD COLLECTION MIXER DEVICE, BLOOD MIXING AND BLOOD WEIGHING KSQ BOEKEL SCIENTIFIC. 302000

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown