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Catalog Number 4824062 |
Device Problem
Insufficient Information (3190)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 03/04/2024 |
Event Type
malfunction
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Manufacturer Narrative
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Investigation: the run data file (rdf) was analyzed for this event.The analysis of the run data file did not identify a conclusive root cause for the presence of air in the donor/return lines for this procedure.No unusual process variable was identified and the signals in the run data file indicate that the trima accel system operated as intended.Specifically, the pressure signals and the pumped volume values were all within the expected ranges during tubing set test, ac prime, and blood prime states of the procedure.A review of the device history record (dhr) for this lot showed no irregularities during manufacturing that were relevant to this issue.The customer history report indicates there were twelve reports of a similar issue.A disposable complaint history search was performed for this lot and found one other report for similar issue on this lot, from the same customer.Investigation is in process.A follow-up report will be provided.
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Event Description
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The customer reported that during an allogenic platelet procedure on a trima device a small air bubble, approximately 1/8th inch, was seen in the line going back to the donor during the first return.The operator clamped the line before air was returned to the donor.No medical intervention was reported, and the patient is reported as stable and release home.Full donor id #: (b)(6) the customer reported that all luer connections were tight and there was no clotting in the channel or reservoir.The blood diversion pouch was not inflated with air and the donor was not connected prior to ac prime.The customer stated that no air was being drawn in through the ac line or filter.The platelet collection set is not available for return because it was discarded by the customer.
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Search Alerts/Recalls
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