Cord blood bag cracked when thawed

Record number: 
1142
Adverse Occurrence type: 
MPHO Type: 
Alerting signals, symptoms, evidence of occurrence: 
Cord blood unit had crack in bag discovered when thawed, and cells in unit had poor viability.
Demonstration of imputability or root cause: 
Discovered upon thawing
Suggest references: 
World Marrow Donor Association.S(P)EAR Committee Annual Report - year 2012