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Adverse Event Report

BAXTER HEALTH CARE CORP. BAXTER IMMUNOTHERAPY CRYOCYTE FREEZING CONTAINER   back to search results
Model Number 4R5461
Event Date 09/16/1996
Event Type  Malfunction  
Event Description

Reportedly, two freezing containers were found ruptured after transportation from another facility. The contents of the container, peripheral blood stem cells, were disposed of at the time of the events. The pt was not impacted by the event. Sufficient back up cells remained to transplant the pt. The containers will not be returned for eval. The containers, after removal from the liquid nitrogen storage tank are extremely fragile in this frozen state. Care must be taken when handling or transporting the frozen product not cause any mechanical damage to the plastic continer. Small cracks or fractures in the body of the container may cause the ingress of liquid nitrogen and casue the rupture or distention of the containers. Freezing and thawing recommendations are distributed with each model number sold.

 
Manufacturer Narrative

Baxter healthcare corp ("baxter") submits the folowing report, together with any telephone or written reports on the same incident, to the fda pursuant to the provisions of 21 cfr part 803. These reports are based on info rec'd by baxter which baxter may not have had any opportunity to investigate or verify prior to the required reporting date. These reports shall not be construed as an admission by baxter that the product(s), described herein, are products of its mfr and are or were defective or dangerous products in any respect, or that any casual relationship exists between these products and any actual or potential injury. In addition, the submission of a report by baxter shall not be construed as an admission that a reportable event has in fact occurred.

 
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Brand NameBAXTER IMMUNOTHERAPY
Type of DeviceCRYOCYTE FREEZING CONTAINER
Baseline Brand NameCRYOCYTE
Baseline Generic NameFREEZING CONTAINER
Baseline Catalogue Number4R5461
Baseline Model Number4R5461
Other Baseline ID Number250 ML
Baseline Device FamilyCRYOCYTE
Baseline Device 510(K) Number
Baseline Device PMA Number
Baseline Shelf Life Information
Baseline Preamendment? No
Transitional? No
510(K) Exempt? No
Date First Marketed06/14/1978
Manufacturer (Section F)
BAXTER HEALTH CARE CORP.
highway 201
mountain home AR 72653
Manufacturer (Section D)
BAXTER HEALTH CARE CORP.
highway 201
mountain home AR 72653
Manufacturer (Section G)
BAXTER HEALTHCARE S.A.
9 parker
irvine CA 92718
Manufacturer Contact
carol mccorkle
1900 n highway 201
mountain home , AR 72653-2497
(501) 424 -5200
Device Event Key45156
MDR Report Key44234
Event Key41455
Report Number6000004-1996-00006
Device Sequence Number1
Product CodeKSR
Report Source Manufacturer
Source Type Health Professional,Company Representative
Reporter Occupation Medical Technologist
Remedial Action Notification
Type of Report Initial
Report Date 10/16/1996
1 Device Was Involved in the Event
1 Patient Was Involved in the Event
Date FDA Received10/17/1996
Is This An Adverse Event Report? No
Is This A Product Problem Report? Yes
Device Operator Health Professional
Device MODEL Number4R5461
Device Catalogue Number4R5461
Device LOT NumberH91L04263
OTHER Device ID NumberCOMPLAINT FILE # 9600132
Was Device Available For Evaluation? Yes
Is The Reporter A Health Professional? Yes
Was the Report Sent to FDA? No
Event Location Invalid Data
Date Manufacturer Received09/16/1996
Was Device Evaluated By Manufacturer? Device Not Returned To Manufacturer
Date Device Manufactured12/01/1991
Is The Device Single Use? Yes
Is the Device an Implant? No
Is this an Explanted Device?
Type of Device Usage Initial

Database last updated on February 28, 2009

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