* 2008K

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2013-05-15 for * 2008K manufactured by Fresenius Usa, Inc.

Event Text Entries

[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


MAUDE Entry Details

Report Number3115213
MDR Report Key3115213
Date Received2013-05-15
Date of Report2013-05-15
Date of Event2013-05-09
Report Date2013-05-15
Date Reported to FDA2013-05-15
Date Reported to Mfgr2013-05-16
Date Added to Maude2013-05-16
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 Name*
Generic NameDIALYZER
Product CodeFII
Date Received2013-05-15
Model Number2008K
Catalog Number*
Lot Number*
ID Number*
Device AvailabilityR
Device Sequence No1
Device Event Key0
ManufacturerFRESENIUS USA, INC
Manufacturer Address2637 SHADELANDS DR WALNUT CREEK CA 94598 US 94598


Patients

Patient NumberTreatmentOutcomeDate
10 2013-05-15

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.