FDA Adverse Event Summary report: N

BRAT 2 AUTOLOGUS BLOOD SALVAGE SYSTEM

MDR report key: 5192776 · Received October 30, 2015

Report

Report Number
1718850-2015-00531
Date Received
October 30, 2015
Date of Event
June 9, 2015
Report Date
October 2, 2015
Manufacturer
SORIN GROUP USA, INC.
Product Code
CAC
PMA / PMN Number
K933625
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

SORIN GROUP USA, INC. RECEIVED A REPORT THAT THE BRAT 2 AUTOLOGUS BLOOD SALVAGE SYSTEM LOST BLOOD SUPPLY AND WAS UNABLE TO FILTER RED BLOOD CELLS DURING A CASE. THE INCIDENT OCCURRED IN (B)(6). DESPITE MULTIPLE ATTEMPTS TO OBTAIN PATIENT OUTCOME, NO INFORMATION HAS BEEN DISCLOSED TO DATE, WHICH IS WHY A MEDWATCH REPORT WAS FILED. FURTHER ATTEMPTS TO CONTACT THE CUSTOMER RESULTED IN THE RECEIPT OF NEW INFORMATION. THE USER HAS REPORTED THAT THERE WAS NO PATIENT INJURY ASSOCIATED WITH THIS EVENT. WITH THIS NEW INFORMATION, THE COMPLAINT HAS BEEN RECLASSIFIED AS NON-REPORTABLE.

Additional Manufacturer Narrative · 1

PATIENT INFORMATION WAS NOT PROVIDED. SORIN GROUP USA, INC. RECEIVED A REPORT THAT THE BRAT 2 AUTOLOGOUS BLOOD SALVAGE SYSTEM LOST BLOOD SUPPLY AND WAS UNABLE TO FILTER RED BLOOD CELLS DURING A CASE. THE INCIDENT OCCURRED IN (B)(6). DESPITE MULTIPLE ATTEMPTS TO OBTAIN PATIENT OUTCOME, NO INFORMATION HAS BEEN DISCLOSED TO DATE, WHICH IS WHY A MEDWATCH REPORT IS BEING FILED. THE INVESTIGATION IS ONGOING. A FOLLOW-UP REPORT WILL BE SENT WHEN THE INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

SORIN GROUP USA, INC. RECEIVED A REPORT THAT THE BRAT 2 AUTOLOGOUS BLOOD SALVAGE SYSTEM LOST BLOOD SUPPLY AND WAS UNABLE TO FILTER RED BLOOD CELLS DURING A CASE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
721441 BRAT 2 AUTOLOGUS BLOOD SALVAGE SYSTEM APPARATUS, AUTOTRANSFUSION CAC SORIN GROUP USA, INC. 007320000 N/A

Patients

Seq Age Sex Outcome Treatment
1 Other