inforMED
InjuryGKT

SEPARATOR, AUTOMATED, BLOOD CELL, DIAGNOSTIC

Received Jan 29, 2021 · Event occurred Dec 15, 2020

Report MW5099119 · MDR key 11261212

Device

Generic name

Separator, Automated, Blood Cell, Diagnostic

Manufacturer

Terumo Bct Inc.

Model number

90819

Catalog number

90819

Lot number

09D15004

Product problems

  • Disconnection
  • Loose or Intermittent Connection

Patient

Not reported

  • Insufficient Information
  • Insufficient Information

Narrative

Description of Event or Problem

UPON DEBULKING A MARROW ON THE COBE CELL WASHER, A LINE BECAME LOOSE AND DISCONNECTED FROM THE COBE BAG. WE OPENED UP ANOTHER BAG OF THE SAME LOT AND TRIED TO RE-CREATE THE EVENT, BUT COULDN'T GET THE LINE TO LOOSEN OR PULL AWAY FROM THE BAG. WE THINK IT WAS A FAULTY BAG INITIALLY. FDA SAFETY REPORT ID # (B)(4).