FDA Adverse Event Death Summary report: N

SCREENING CELLS TRIO

MDR report key: 467164 · Received June 18, 2003

Report

Report Number
1623424-2003-00002
Event Type
Death
Date Received
June 18, 2003
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

THE PATIENT RECEIVED 6 UNITS OF PACKED RED BLOOD CELLS, TWO OF WHICH WERE E+. THE PATIENT'S DEATH OCCURRED APPROXIMATELY 18 HOURS AFTER THE TRANSFUSION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SCREENING CELLS TRIO REAGENT RED BLOOD CELLS KSZ GAMMA BIOLOGICALS, INC. NA 0415620

Patients

Seq Age Sex Outcome Treatment
1 68 YR Death