FDA Adverse Event Other Summary report: N

SCREENING CELLS TRIO

MDR report key: 384877 · Received March 25, 2002

Report

Report Number
1623424-2002-00001
Event Type
Other
Date Received
March 25, 2002
Date of Event
February 21, 2002
Report Date
March 25, 2002
Manufacturer
GAMMA BIOLOGICALS, INC.
Product Code
KSZ
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

A PT EXPERIENCED A DELAYED TRANSFUSION REACTION. PT EXHIBITED A SLIGHT ELEVATION IN TEMPERATURE. THE PT WAS STABLE AND THERE WERE NO COMPLICATIONS AT THE TIME OF THE REPORTED REACTION. THE PT'S PRE-TRANSFUSION SAMPLE WAS INITIALLY FOUND TO BE NEGATIVE. AFTER THE DELAYED TRANSFUSION REACTION OCCURRED, THE PRE-TRANSFUSION SAMPLE WAS RETESTED AND FOUND TO BE POSITIVE FOR ANTI-JKA. IN-HOUSE TESTING OF RETENTIONS SHOWED THE PRODUCT TO BE PERFORMING ACCORDING TO SPECS. REPEAT TESTING OF THE PRE-TRANSFUSION SAMPLE, BY THE USER FACILITY, SHOWED THAT THE PRODUCT PERFORMED ACCORDING TO SPECS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SCREENING CELLS TRIO IN-VITRO DIAGNOSTIC KSZ GAMMA BIOLOGICALS, INC. NA 0115793

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other