inforMED
MalfunctionLKN

SPECTRA OPTIA

Received Jan 30, 2019 · Event occurred Jan 23, 2019

Report MW5083581 · MDR key 8293710

Device

Generic name

Seperator, Automated, Blood Cell And Plasma Therapeutic

Manufacturer

Terumo Bct, Inc.

Lot number

IP04152

Product problems

  • Break

Patient

68 YR

  • Hemorrhage/Blood Loss/Bleeding
  • Hemorrhage/Blood Loss/Bleeding

Narrative

Description of Event or Problem

PATIENT HAD SIGNIFICANT BLOOD LOSS DUE TO EQUIPMENT MALFUNCTION DURING PLASMAPHERESIS POSSIBLY DUE TO BROKEN LINE IN INSIDE MACHINE CENTRIFUGE. THE PATIENT¿S FIBRINOGEN LEVEL DROPPED FROM 170/DL (LOW) TO 72MG/DL (CRITICAL LEVEL) REQUIRING TRANSFUSION WITH FFP AND MEDICATION TO PREVENT HISTORICAL LIFE-THREATENING ALLERGIC RESPONSE TO PLASMA.