inforMED
MalfunctionKSR

CRYOSTORE CS500N

Received Sep 30, 2021 · Event occurred Sep 27, 2021

Report MW5104308 · MDR key 12561773

Device

Generic name

Container, Empty, For Collection & Processing Of Blood & Blood Components

Model number

CS500N

Lot number

W21779

Product problems

  • Leak/Splash
  • Material Puncture/Hole

Patient

65 YR

  • Insufficient Information
  • Insufficient Information

Narrative

Description of Event or Problem

ORIGEN CRYOSTORE CS500N BAG WAS USED TO CRYOPRESERVE HPC, APHERESIS AUTOLOGOUS PRODUCT FOR A PATIENT. 100ML WAS CRYOPRESERVED IN THE BAG AND KEPT IN LIQUID NITROGEN VAPOR PHASE STORAGE. NO PROBLEMS WERE FOUND DURING CRYOPRESERVATION. THE BAG WAS THAWED AT THE PATIENT'S BEDSIDE. ONCE COMPLETELY THAWED, THE BAG WAS TURNED UPSIDE DOWN FOR INFUSION AND A LEAK WAS NOTICED FROM THE BAG. NO LEAK WAS SEEN DURING THAWING. A HOLE/BREAK BENEATH THE PORT WAS FOUND AS THE SOURCE FOR THE LEAK. THE PRODUCT WAS INFUSED WITH A SYRINGE TO PREVENT FURTHER LOSS. FDA SAFETY REPORT ID # (B)(4).