FDA Adverse Event Death Summary report: N

PALL LEUKOTRAP-SC RC

MDR report key: 547857 · Received October 8, 2004

Report

Report Number
9617787-2004-00001
Event Type
Death
Date Received
October 8, 2004
Date of Event
August 21, 2004
Report Date
September 1, 2004
Manufacturer
ENSATEC, S.A. DE C.V.
Product Code
CAK
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
UNKNOWN

Narratives

Description of Event or Problem · 1

A PT DEATH OCCURRED DUE TO SEPTIC SHOCK THE DAY AFTER A TRANSFUSION OF A RED CELL UNIT STORED IN THE STORAGE BAG OF THE PALL FILTRATION SET. THE UNIT OF BLOOD WAS COLLECTED IN TERUMO COLLECTION SET IN 2004. THE RED CELL UNIT WAS TRANSFUSED IN 2004 AND THE PT DIED THE FOLLOWING DAY. THE STORAGE BAG AND CORRESPONDING SEGMENTS WERE CULTURED AND PANTOEA AGGLOMERANS WAS IDENTIFIED ON BOTH. BLOOD DONOR WAS ASYMPTOMATIC AT TIME OF DRAW AND A RECENT CULTURE (35 DAYS LATER) OF DONOR BLOOD SHOWED NO GROWTH OF THIS BACTERIA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PALL LEUKOTRAP-SC RC LEUKOCYTE REDUCTION FILTRATION SYSTEM FOR RED BLOOD CELLS CAK ENSATEC, S.A. DE C.V. 430-41 0450439

Patients

Seq Age Sex Outcome Treatment
1 * Death