NA ATLS04Recalls & reported problems
Medtronic, Inc. · ONE SOURCE PACK ATLS04 · Class 2
- Adverse event reports
- 1
- Deaths reported
- 0
- Injuries reported
- 0
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 1 adverse event report that list this exact device (DI 00643169108349), received between Sep 24, 2024 and Sep 24, 2024 — classified as 1 malfunction.
The most frequently reported specific device problem is “Fluid/Blood Leak” (1 report).
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. How this data works · Data updated Oct 13, 2026.
Reports received per month
Most reported problems
Device problems
- Fluid/Blood Leak1
- Material Separation1
Patient problems
- Hemorrhage/Blood Loss/Bleeding1
- No Clinical Signs, Symptoms or Conditions1
Recent adverse event reports
The 1 most recent of 1 reports, in the reporter's own words as published by the FDA.
MalfunctionSep 24, 2024Fluid/Blood Leak; Material Separation; Fluid/Blood Leak; Material Separation
MEDTRONIC RECEIVED INFORMATION THAT DURING USE OF A AUTOLOG ONE SOURCE PACK, IT WAS REPORTED THAT THE CONNECTOR OF THE BLOOD COLLECTION BAG CAME LOOSE DURING USE. THE CUSTOMERS STATED THAT THE PATIENT LOST AROUND 300ML OF BLOOD. THE DEVICE WAS REPLACED TO COMPLETE THE PROCEDURE. THERE WAS NO ADVERSE PATIENT EFFECT ASSOCIATED WITH THIS EVENT.
Patient problems: Hemorrhage/Blood Loss/Bleeding; No Clinical Signs, Symptoms or Conditions
MAUDE report 20289607 ↗
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Sources: FDA GUDID, MAUDE and Medical Device Recalls via openFDA. openFDA data is not validated for clinical or regulatory use.