LUNDIA ALPHA 700 NO1849004

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 1996-09-13 for LUNDIA ALPHA 700 NO1849004 manufactured by Gambro Healthcare.

Event Text Entries

[7771783] A review and investigation of the process equipment used to mfr the plug as well as the plugging station in the dialyzer assembly line were done to find possible reasons for defects or small damages to the sealing plug which occasionally may cause leakage. The plugging station design was reviewed and a small change was done to the plug entrance channel to facilitate the movement of the plug and avoid random damages. The activities on the plugging station were done on 10-3-96. The adjustmetns of the complete plugging station have earlier been rechecked on 8-9-96. As part of a continuing improvement program, the moulding tool for the plug was polished to avoid any occurrence of surface roughness. This action implemented 9-2-96 will facilitate the movement of the plug in the plug station and reduce any possibilities for random damages to the plug. The mfr will continue to monitor and trend.
Patient Sequence No: 1, Text Type: N, H10


[22182384] During a dialysis treatment, there was an external blood leak from the plastic knob above the label. Blood was running down the dialyzer. There was no pt impact.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number8030992-1996-00001
MDR Report Key40165
Report Source06
Date Received1996-09-13
Date of Report1996-09-13
Report Date1996-09-13
Date Mfgr Received1996-08-13
Date Added to Maude1996-10-02
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameLUNDIA ALPHA 700
Generic NamePLATE DIALYZER
Product CodeFJG
Date Received1996-09-13
Model NumberLUNDIA ALPHA 700
Catalog NumberNO1849004
Lot Number6-0088-L01
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Age*
Device Eval'ed by MfgrR
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key41285
ManufacturerGAMBRO HEALTHCARE
Manufacturer Address1185 OAK ST LAKEWOOD CO 80215 US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 1996-09-13

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