FDA Adverse Event Injury Summary report: N

THERAKOS CELLEX PHOTOPHERESIS SYSTEM

MDR report key: 4275839 · Received November 20, 2014

Report

Report Number
2523595-2014-00299
Event Type
Injury
Date Received
November 20, 2014
Date of Event
October 28, 2014
Report Date
October 28, 2014
Manufacturer
THERAKOS, INC.
Product Code
LNR
PMA / PMN Number
P680003
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
DA
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

NO LOT NUMBER WAS PROVIDED; THEREFORE, NO BATCH RECORD REVIEW WAS PERFORMED. TRENDS WERE REVIEWED FOR COMPLAINT CATEGORY, GASTROINTESTINAL HEMORRHAGE, AND NO TRENDS WERE DETECTED FOR THIS COMPLAINT CATEGORY. THIS ASSESSMENT IS BASED ON INFO AVAILABLE AT THE TIME OF THIS REPORT. NO PRODUCT WAS RETURNED FOR EVAL; THEREFORE, IT COULD NOT BE DETERMINED IF THIS SPECIFIC PRODUCT MET SPECS. THIS CASE IS BEING REPORTED BECAUSE OF THE MEDICAL INTERVENTION GIVEN TO THE PT; THE PT RECEIVED ANTIDOTE TO HEPARIN. (B)(4).

Description of Event or Problem · 1

CUSTOMER CONTACTED CLINICAL SERVICES SPECIALIST REGARDING A PT WHO THEY HAVE JUST STARTED TREATING WITH ECP. THE PT WAS TRANSPLANTED WITH BONE MARROW IN (B)(6) AND STARTED ECP ON (B)(6). THE PT IS BLEEDING FROM THE GUT. SHE HAS HAD TWO TREATMENT CYCLES (2 TREATMENT/CYCLE) FOR TWO CONSECUTIVE WEEKS AFTER THE LAST TREATMENT, SHE WAS GIVEN ANTIDOTE TO HEPARIN. SHE SHOULD HAVE STARTED A NEW TREATMENT CYCLE AGAIN ON (B)(6), BUT SHE HAD BEEN BLEEDING TOO MUCH DURING THE NIGHT SO THE DOCTORS CANCELED THE TREATMENT. THEY ARE HOPING TO TREAT HER TOMORROW. NURSES WANTED TO KNOW IF THERAKOS HAS EXPERIENCE OF SIMILAR ISSUES OR OF ANTIDOTES TO HEPARIN. THERAKOS MEDICAL AFFAIRS PROVIDED A RESPONSE TO THE CUSTOMER. THEY ALSO ASKED IF THERE ANY OTHER OPTIONS TO HEPARIN. CSS SAID THAT WE ONLY HAVE OFFICIAL GUIDELINES FOR HEPARIN AND ADVISED NURSES TO DISCUSS WITH OTHER CENTERS WITH WHOM THEY HAVE ALREADY BEEN IN CONTACT REGARDING PEDIATRIC TREATMENT. NURSES AGREE THAT THE FINAL DECISION IS THE DOCTOR'S, BUT THEY WOULD LIKE TO GET INFO ABOUT DIFFERENT OPTIONS IN ORDER TO PRESENT THOSE TO THE PHYSICIAN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
752582 THERAKOS CELLEX PHOTOPHERESIS SYSTEM CELLEX LNR THERAKOS, INC. RNP

Patients

Seq Age Sex Outcome Treatment
1 11 YR Required Intervention