2008K *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2013-01-14 for 2008K * manufactured by Fresenius Medical Care North America.

Event Text Entries

[3371135] Due to electrical interference/artifact that occurred every few seconds, it was impossible to accurately view patient's underlying rhythm. Monitor counted interference as pvcs (premature ventricular contractions). When dialysis machine put on hold, the patient's nsr (normal sinus rythm) reappeared and the pvcs were non-existent.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2921567
MDR Report Key2921567
Date Received2013-01-14
Date of Report2013-01-14
Date of Event2012-11-15
Report Date2013-01-14
Date Reported to FDA2013-01-14
Date Added to Maude2013-01-18
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand Name2008K
Generic NameSYSTEM, HEMODIALYSIS
Product CodeMQS
Date Received2013-01-14
Model Number2008K
Catalog Number*
Lot Number*
ID Number*
OperatorNURSE
Device AvailabilityN
Device Age*
Device Sequence No1
Device Event Key0
ManufacturerFRESENIUS MEDICAL CARE NORTH AMERICA
Manufacturer Address920 WINTER STREET, SUITE A WALTHAM MA 02451 US 02451


Patients

Patient NumberTreatmentOutcomeDate
10 2013-01-14

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