FDA Adverse Event Death Summary report: N

SOLOCOTRANS PLUS

MDR report key: 76835 · Received March 13, 1997

Report

Report Number
1213643-1997-00021
Event Type
Death
Date Received
March 13, 1997
Report Date
March 13, 1997
Manufacturer
DAVOL, INC.
Product Code
CAC
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

AFTER REINJECTION OF 500 CC OF BLOOD, THE PT LOST A LOT OF BLOOD VIA DRAIN. (5 HOURS LATER). THE COMPLAINT REPORT STATES "PT DIED BUT CO DOES NOT KNOW IF IT IS FOLLOWING AUTOTRANSFUSION USING."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SOLOCOTRANS PLUS AUTOTRANSFUSION APARATUS CAC DAVOL, INC. NA 41KEDS09

Patients

Seq Age Sex Outcome Treatment
1 * Death