MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2013-05-15 for * 2008K manufactured by Fresenius Usa, Inc.
[3563955]
Approximately 30 minutes into dialysis treatment, blood pump on patient's machine stopped working. All blood re-infused and patient moved to another machine where dialysis was resumed without incident. Fresensius medical care contacted. Work order placed with fresenius to fix machine. Device #1is this a laboratory device or laboratory test? No.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 3115213 |
MDR Report Key | 3115213 |
Date Received | 2013-05-15 |
Date of Report | 2013-05-15 |
Date of Event | 2013-05-09 |
Report Date | 2013-05-15 |
Date Reported to FDA | 2013-05-15 |
Date Reported to Mfgr | 2013-05-16 |
Date Added to Maude | 2013-05-16 |
Event Key | 0 |
Report Source Code | User Facility report |
Manufacturer Link | N |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Single Use | 0 |
Previous Use Code | 0 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | * |
Generic Name | DIALYZER |
Product Code | FII |
Date Received | 2013-05-15 |
Model Number | 2008K |
Catalog Number | * |
Lot Number | * |
ID Number | * |
Device Availability | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | FRESENIUS USA, INC |
Manufacturer Address | 2637 SHADELANDS DR WALNUT CREEK CA 94598 US 94598 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2013-05-15 |