2008-K

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-04-16 for 2008-K manufactured by Fresenius.

Event Text Entries

[1645999] A 24v alarm.... All machine function was lost during treatment.... Had to use manual crank to return pt's blood. Treatment ended per md, and there was no pt blood loss or harm to pt.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5015596
MDR Report Key1664420
Date Received2010-04-16
Date of Report2010-04-16
Date of Event2010-04-10
Date Added to Maude2010-04-26
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Generic NameFRESENIUS DIALYSIS MACHINE
Product CodeFII
Date Received2010-04-16
Model Number2008-K
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerFRESENIUS


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2010-04-16

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