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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: TERUMO BCT, INC. SPECTRA OPTIA; SEPARATOR, AUTOMATED, BLOOD CELL, DIAGNOSTIC

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TERUMO BCT, INC. SPECTRA OPTIA; SEPARATOR, AUTOMATED, BLOOD CELL, DIAGNOSTIC Back to Search Results
Lot Number 2302133141
Device Problems Device Alarm System (1012); Output Problem (3005)
Patient Problem Insufficient Information (4580)
Event Date 04/19/2023
Event Type  malfunction  
Event Description
Procedure treatment for therapeutic plasma exchange on the optia machine with a terumo bct kit.Multiple alarms noted during procedure and terumo bct notified.Unable to clear alarms and not able to rinse back.Treatment stopped and restarted with new kit on different machine.Manufacturer response for terumo bct, (brand not provided) (per site reporter) the manufacturer exchanged the device.
 
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Brand Name
SPECTRA OPTIA
Type of Device
SEPARATOR, AUTOMATED, BLOOD CELL, DIAGNOSTIC
Manufacturer (Section D)
TERUMO BCT, INC.
10811 west collins ave.
lakewood CO 80215
MDR Report Key16918443
MDR Text Key315087010
Report Number16918443
Device Sequence Number1
Product Code GKT
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source User Facility
Reporter Occupation Risk Manager
Type of Report Initial
Report Date 05/05/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Lot Number2302133141
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? Yes
Date Report Sent to FDA05/05/2023
Event Location Outpatient Treatment Facility
Date Report to Manufacturer05/12/2023
Initial Date Manufacturer Received Not provided
Initial Date FDA Received05/12/2023
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Patient Sequence Number1
Patient Age24820 DA
Patient Weight56 KG
Patient RaceWhite
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