FDA Adverse Event Other Summary report: N

BRAT2 PROCEDURE SET

MDR report key: 496639 · Received November 14, 2003

Report

Report Number
1718850-2003-00023
Event Type
Other
Date Received
November 14, 2003
Date of Event
October 22, 2003
Report Date
November 14, 2003
Manufacturer
COBE CARDIOVASCULAR, INC.
Product Code
CAC
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

DURING THE BLOOD SALVAGE PROCEDURE, BLOOD LEAKED FROM THE INLET LINE TO THE PUMP CARTRIDTGE CONNECTION. BLOOD LEAKED ONTO THE MACHINE AND THE OPERATOR WAS ACCIDENTALLY EXPOSED TO THE PT'S BLOOD LOSS WAS APPROXIMATELY 20CC AND NO INTERVENTION WAS REQUIRED TO COMPENSATE FOR THE BLOOD LOSS. THERE WAS NO PT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BRAT2 PROCEDURE SET AUTOLOGOUS TRANSFUSION DISPOSABLES CAC COBE CARDIOVASCULAR, INC. NA 0324600007

Patients

Seq Age Sex Outcome Treatment
1 NA Other