FDA Adverse Event Death Summary report: N

RED BLOOD CELL UNITS

MDR report key: 9804 · Received July 29, 1994

Report

Report Number
9804
Event Type
Death
Date Received
July 29, 1994
Date of Event
October 25, 1993
Report Date
November 15, 1993
Manufacturer
SAN DIEGO BLOOD BANK
Adverse Event
Yes
Report Source
User Facility report

Narratives

Description of Event or Problem · 1

ON OCTOBER 25, 1993 A 76 YEAR OLD FEMALE WITH RUPTURED ABDOMINAL AORTIC ANEURYSM WAS ADMITTED TO EMERGENCY DEPARTMENT. THE PHYSICIAN ORDERED TWO O NEGATIVE UNCROSSMATCHED RED BLOOD CELL UNITS TO BE ADMINISTERED IMMEDIATELY. THE PATIENT WAS TAKEN TO THE SURGERY DEPARTEMENT AND ALL AVAILABLE O NEGATIVE UNITS OF RED BLOOD CELLS WERE ISSUED FOLLOWED BY O POSITIVE UNITS.UPON COMPLETION OF TESTING THE PATIENT WAS DETERMINED TO BE ONEGATIVE WITH ANTI-D AND ANTI-C ANTIBODIES IN HER SERUM. SEVEN OF THE SEVENTEEN UNITS OF RED BLOOD CELLS INFUSED WERE O POSITIVE, FIVE OF THE UNITS WERE C POSITIVE.THE ORIGINAL BLOOD SPECIMEN HAD A NEGATIVE DIRECT ANTIGLOBULIN TEST, A TOTAL BILIRUBIN OF 0.5 MG/DL AND A BUN OF 17 MG/DL. A BLOOD SPECIMEN COLLECTED AT 9750 ON 10/25/93 DEMONSTRATED A POSITIVE DIRECT ANTIGLOBULIN TEST. POSTOPERTIVELY THE PATIENT DEVELOPED ADULT RESPIRATORY DISTRESS SYNDROME. THE PATIENT RECEIVED SEVEN ADDITIONAL UNITS OF RED BLOOD CELLS DURING HER HOSPITAL STAY, ALL OF THESE WERE O NEGATIVE, C NEGATIVE. A BLOOD SPECIMEN COLLECTON ON 11/11/93 WAS RESULTED WITH A TOTAL BILIRUBIN OF 38.2 MG/DL AND A BUN OF 121 MG/DL. THERE WAS NO EVIDENCE OF INTRAVASCULAR HEMOLYSIS.THE PATIENT EXPIRED ON NOVEMBER 11, 1993 AT 1820. THE CAUSE OF DEATH WAS LISTED AS: 1) RESPIRATORY FAILURE, 2) HEMOLOYSIS AND 3) RUPTURED ABDOMINAL AORTIC ANEURYSM.INVALID DATA - REGARDING SINGLE USE LABELING OF DEVICE. PATIENT MEDICAL STATUS PRIOR TO EVENT: INVALID DATA. INVALID DATA - REGARDING MULTIPLE PATIENT INVOLVEMENT.INVALID DATA - ON DEVICE SERVICE/MAINTENANCE. NO DATA - REGARDING DATE LAST SERVICED. SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY.INVALID DATA - REGARDING WHETHER EVENT PRESENTS IMMINENT HAZARD. INVALID DATA - WHETHER DEVICE USED AS LABELED/INTENDED.INVALID DATA - REGARDING EVALUATION BY USER AFTER EVENT. METHOD OF EVALUATION: INVALID DATA. RESULTS OF EVALUATION: INVALID DATA. CONCLUSION: INVALID DATA. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: INVALID DATA. CORRECTIVE ACTIONS: NO DATA. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 RED BLOOD CELL UNITS SAN DIEGO BLOOD BANK

Patients

Seq Age Sex Outcome Treatment
1 76 YR Death