FDA Adverse Event Other Summary report: N

BRAT 2 AUTOLOGUS BLOOD SALVAGE SYSTEM

MDR report key: 3902397 · Received June 24, 2014

Report

Report Number
1718850-2014-00190
Event Type
Other
Date Received
June 24, 2014
Date of Event
January 30, 2014
Report Date
June 2, 2014
Manufacturer
SORIN GROUP USA, INC.
Product Code
CAC
PMA / PMN Number
K933625
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SORIN GROUP RECEIVED A USER MEDWATCH REPORT INDICATING THE CELL SAVER MACHINE STOPPED WORKING. THE MEDWATCH REPORT STATED TYPE AND CROSS-MATCHED BLOOD HAD TO BE SUBSTITUTED. THE INVESTIGATION IS ONGOING. A FOLLOW-UP REPORT WILL BE SENT WHEN THE INVESTIGATION IS COMPLETE. MEDWATCH USER REPORT NUMBER: 3600510000-2014-8015.

Description of Event or Problem · 1

SORIN GROUP RECEIVED A USER MEDWATCH REPORT INDICATING THE CELL SAVER MACHINE STOPPED WORKING. THE MEDWATCH REPORT STATED TYPED AND CROSS-MATCHED BLOOD HAD TO BE SUBSTITUTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
368867 BRAT 2 AUTOLOGUS BLOOD SALVAGE SYSTEM APPARATUS, AUTOTRANSFUSION CAC SORIN GROUP USA, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1 70 YR