The system was used for treatment.This case is reportable as a mdr due to the reportable malfunction centrifuge bowl leak/break.Since this reportable malfunction is only associated with the kit, this mdr will only be against the kit.A batch record review for kit lot m128 was conducted.There were no non-conformances associated with this lot.This lot met all release requirements.A review of kit lot m128 shows no trends.Trends were reviewed for complaint category, centrifuge bowl leak/break.No trends were detected for this complaint category.Photographs were provided by the customer for evaluation.A visual inspection of the customer-supplied photographs showed that the drive tube and centrifuge bowl are damaged.The centrifuge bowl had dislodged out of the bowl holder and impacted the inside of the centrifuge chamber during the treatment.A known cause for the centrifuge bowl to dislodge out of the bowl holder is due to the bowl not being properly locked into the bowl holder during installation by the end user.A material trace of the bowl assembly and its components used to build lot m128 found no related non-conformances.The device history record (dhr) review did not identify any related non-conformances, deviations, or equipment maintenance events.This lot passed all lot release testing.The most likely root cause of the centrifuge bowl break is due to the centrifuge bowl not being secured into the bowl holder during installation of the kit by the end user.No further action is required at this time.The investigation is now complete.(b)(4).(b)(4) 15-apr-2024.
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