inforMED
InjuryKSS

MINI GPS 6 PACK

Received Oct 2, 2014 · Event occurred Aug 21, 2014

Report 0001825034-2014-07902 · MDR key 4133900

Device

Generic name

Blood Bank Supplies

Manufacturer

Biomet Orthopedics

Model number

N/A

Catalog number

800-1007A

Lot number

400389

Product problems

  • Break
  • Contamination
  • Improper Flow or Infusion

Patient

Not reported

  • No Code Available

Narrative

Description of Event or Problem

IT WAS REPORTED THAT PATIENT UNDERWENT A PROCEDURE UTILIZING A PLATELET SEPARATION KIT FOR THE EXTRACTION OF PLATELET RICH PLASMA (PRP) ON (B)(6) 2014. DURING THE PROCEDURE, THE KIT DID NOT SEPARATE THE PRP PROPERLY AND BECAME CONTAMINATED WITH WHAT LOOKED LIKE RED BLOOD CELLS (RBCS). THE KIT APPEARED TO HAVE A BREAK IN THE SEAL BETWEEN THE CHAMBERS. A DIFFERENT KIT WAS USED TO COMPLETE THE PROCEDURE; HOWEVER, A DELAY OF AT LEAST 30 MINUTES OCCURRED WHILE THE OTHER KIT WAS SET UP.

Additional Manufacturer Narrative

CURRENT INFORMATION IS INSUFFICIENT TO PERMIT A CONCLUSION AS TO THE CAUSE OF THE EVENT. REVIEW OF THE INSPECTION RECORDS AND CERTIFICATE OF CONFORMANCE, INDICATES THAT LOT WAS RECEIVED WITH NO RECORDED ANOMALY OR DEVIATION.