inforMED
MalfunctionKSS

GPS MINI KIT W /ACD-A & BD -A/BLOOD D

Received Sep 17, 2019 · Event occurred Sep 5, 2019

Report 0001825034-2019-04171 · MDR key 9078987

Device

Generic name

Biologics, Instrument

Catalog number

800-0670A

Lot number

190253

Product problems

  • Separation Problem
  • Separation Problem

Patient

Not reported

  • No Information
  • No Information

Narrative

Additional Manufacturer Narrative

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. VISUAL INSPECTION OF THE RETURNED TUBE NOTED SOME OF THE LIQUID, INSIDE OF THE TUBES HAS HARDENED WITH SOME STILL REMAINING IN A LIQUID STATE. DEVICE HISTORY RECORD WAS REVIEWED AND NO DISCREPANCIES WERE FOUND. ROOT CAUSE WAS UNABLE TO BE DETERMINED. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS.

Description of Event or Problem

NO FURTHER EVENT INFORMATION AVAILABLE AT THE TIME OF THIS REPORT.

Additional Manufacturer Narrative

(B)(4). CUSTOMER HAS INDICATED THAT THE PRODUCT IS IN PROCESS OF BEING RETURNED TO ZIMMER BIOMET FOR INVESTIGATION. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED. REPORT SOURCE: THE EVENT OCCURRED IN (B)(6).

Description of Event or Problem

IT WAS REPORTED THAT DURING THE PROCEDURE, THE BLOOD DID NOT SEPARATE IN THE DEVICE. ATTEMPTS HAVE BEEN MADE, AND NO FURTHER INFORMATION HAS BEEN PROVIDED.