FDA Adverse Event Other Summary report: N

UVAR XTS

MDR report key: 909497 · Received September 7, 2007

Report

Report Number
2523595-2007-00007
Event Type
Other
Date Received
September 7, 2007
Date of Event
August 17, 2007
Report Date
August 29, 2007
Manufacturer
THERAKOS, INC.
Product Code
LNR
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR

Narratives

Description of Event or Problem · 1

THIS CASE CONCERNS A PATIENT RECEIVING EXTRACORPOREAL PHOTOPHERESIS TREATMENTS. SHE HAD BEEN RECEIVING ECP TREATMENTS ON A CYCLE OF TWO TREATMENTS EVERY FIFTEEN DAYS. THE TREATING PHYSICIANS ELECTED TO DISCONTINUE THIS ECP TREATMENT FOR THIS PATIENT AFTER TWO CYCLES AND THE BLOOD WAS NOT RETURNED DUE TO POOR VENOUS ACCESS (POOR QUALITY VEINS DUE TO THE OVERALL POOR HEALTH OF THE PATIENT). THE ESTIMATED BLOOD LOSS WAS APPROX 500 ML. NO ADDITIONAL MEDICAL THERAPY WAS ADMINISTERED FOR THE PATIENT AND THE PATIENT WAS REPORTED TO BE IN STABLE CONDITION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UVAR XTS XT125 PHOTOPHERESIS KIT LNR THERAKOS, INC. XT125 V708

Patients

Seq Age Sex Outcome Treatment
1 43 YR Other