inforMED

CELSIOR (ORGAN PRESERVATION SOLUTION) SOLUTION FOR ORGAN PRESERVATION

Received Jan 11, 2012

Report 2950168-2012-00006 · MDR key 2426129

Device

Generic name

Organ Preservation Solution

Model number

UNK

Catalog number

UNK

Lot number

CE262-02

Product problems

  • Device Operates Differently Than Expected

Patient

UNK

  • No Code Available

Narrative

Additional Manufacturer Narrative

MANUFACTURER'S COMMENT: NO FURTHER DETAILS WERE RECEIVED. FURTHER INFORMATION HAS BEEN REQUESTED.

Description of Event or Problem

ACUTE ALLOGRAFT FAILURE [COMPLICATIONS OF TRANSPLANTED HEART]. CASE DESCRIPTION: SPONTANEOUS REPORT WAS RECEIVED ON (B)(6) 2012 FROM AN OTHER HEALTH PROFESSIONAL REGARDING A PT, INITIALS UNKNOWN, WITH HEART TRANSPLANT. THE PT'S MEDICAL HISTORY WAS NOT PROVIDED. ON AN UNSPECIFIED DATE, THE PT INITIATED CELSIOR SOLUTION FOR ORGAN PRESERVATION, DOSE REGIMEN NOT PROVIDED. ON AN UNSPECIFIED DATE, THE PT EXPERIENCED ACUTE ALLOGRAFT FAILURE. THE ACTION TAKEN WITH CELSIOR TREATMENT WAS NOT PROVIDED. THE OUTCOME FOR THE EVENT OF ACUTE ALLOGRAFT FAILURE WAS UNKNOWN. CONCOMITANT MEDICATIONS WERE NOT PROVIDED. THE INTENSITY AND CAUSAL RELATIONSHIP OF THE EVENT TO CELSIOR WERE NOT PROVIDED. THIS IS 1 OF 2 CASES FROM THIS REPORTER REGARDING ACUTE ALLOGRAFT FAILURE IN PTS THAT RECEIVED THIS LOT OF CELSIOR. PLEASE REFER TO CELS-1000022 FOR THE SECOND CASE.