inforMED
MalfunctionGKT

PHERESIS KIT

Received Apr 10, 2019 · Event occurred Jan 21, 2019

Report 8499972 · MDR key 8499972

Device

Generic name

Separator, Automated, Blood Cell, Diagnostic

Manufacturer

Terumo Bct, Inc.

Model number

1810043130

Product problems

  • Fluid/Blood Leak
  • Tear, Rip or Hole in Device Packaging

Patient

21900 DA

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

PHERESIS MACHINE DETECTED A FLUID LEAK. PROCEDURE STOPPED AND TUBING BELT IN CENTRIFUGE CHANNEL HAD A TEAR IN IT AND BLOOD LEAKED OUT. UNABLE TO RINSEBACK. PHERESIS PROCEDURE WAS ABORTED AND REMAINDER OF PROCEDURE RUN TIME WAS FINISHED ON PHERESIS MACHINE #1.