Cord Blood. Seven units of cord blood lost during transit to private cord blood bank because flight diverted and material lost for eight days in system by courier. Cells discarded upon receipt at TE.

Record number:

345

Adverse Occurrence type:

Large quantity of unmatched MPHO

MPHO Type:

Cord Blood

Alerting signals, symptoms, evidence of occurrence:

At cord blood bank

Demonstration of imputability or root cause:

Cord Blood Bank staff identified the loss of material by the courier and it took 8 days to find the units. Thus all had to be discarded due to temperature.

Keywords:

References:

Vigilance and Surveillance EUSTITE Pilot Report

Suggest references:

AAA