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 |