FDA Adverse Event Other Summary report: N

SEPACELL PRE-STORAGE LEUKOCYTE REDUCTION SET

MDR report key: 300550 · Received October 12, 2000

Report

Report Number
9612051-2000-00016
Event Type
Other
Date Received
October 12, 2000
Date of Event
September 15, 2000
Report Date
October 11, 2000
Manufacturer
BAXTER HEALTHCARE CORP
Product Code
CAK
Removal / Correction Number
1420141-09-18-2000-001-R
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
UNKNOWN

Narratives

Description of Event or Problem · 1

DURING THE INVESTIGATION PROCESS, A BAXTER REP VISITED THIS CUSTOMER IN 2000. WHILE AT THIS FACILITY THE REP NOTED ALTERNATING SEGMENTS OF BLOOD AND AIR IN THE POST FILTRATION TUBING ON TWO FILTER SETS OF THE 4C2300. AS NO VISIBLE BLOOD LEAK WAS OBSERVED, THESE TWO FILTER SETS WERE RETURNED TO BAXTER FOR EVAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SEPACELL PRE-STORAGE LEUKOCYTE REDUCTION SET SEPACELL PRE-STORAGE LEUKOCYTE REDUCTION SET CAK BAXTER HEALTHCARE CORP NA A00H02017

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN