FDA Adverse Event
Death
Summary report: N
HAEMONETICS
MDR report key: 288763
·
Received August 3, 2000
Report
- Report Number
- 1219343-2000-00001
- Event Type
- Death
- Date Received
- August 3, 2000
- Date of Event
- June 30, 2000
- Report Date
- July 5, 2000
- Manufacturer
- HAEMONETICS UK
- Product Code
- CAC
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
THE PT WAS TRANSFUSED WITH PLATELETS ON JUNE 29, 2000. THE PLATELETS HAD BEEN COLLECTED FROM THE DONOR WITH A HAEMONETICS MODEL 994UKF HARNESS SET. DURING THE TRANSFUSION THE PT HAD A REACTION. THE PT DIED WITHIN 24 HRS. NOTE: THIS MODEL NUMBER IS NOT USED IN THE USA.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | HAEMONETICS | HARNESS SET | CAC | HAEMONETICS UK | 994 UKF | QQ0009 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Death |