HLM TUBING SET W/BIOLINE COATING BEQ-HLS 7050 USA#HLS SET ADVANCED 7.0 701052794

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer,health professional report with the FDA on 2019-06-07 for HLM TUBING SET W/BIOLINE COATING BEQ-HLS 7050 USA#HLS SET ADVANCED 7.0 701052794 manufactured by Maquet Cardiopulmonary Gmbh.

MAUDE Entry Details

Report Number8010762-2019-00162
MDR Report Key8678057
Report SourceCONSUMER,HEALTH PROFESSIONAL
Date Received2019-06-07
Date of Report2019-08-19
Date of Event2019-05-15
Date Mfgr Received2019-08-19
Date Added to Maude2019-06-07
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer StreetMAQUET CARDIOPULMONARY AG KEHLER STRASSE 31
Manufacturer CityRASTATT 76437
Manufacturer CountryGM
Manufacturer Postal76437
Manufacturer Phone4972229321
Manufacturer G1NURSEL BOELENS
Manufacturer StreetMAQUET CARDIOPULMONARY AG KEHLER STRASSE 31
Manufacturer CityRASTATT 76437
Manufacturer CountryGM
Manufacturer Postal Code76437
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHLM TUBING SET W/BIOLINE COATING
Generic NameTUBING, PUMP, CARDIOPULMONARY BYPASS
Product CodeDWE
Date Received2019-06-07
Model NumberBEQ-HLS 7050 USA#HLS SET ADVANCED 7.0
Catalog Number701052794
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerMAQUET CARDIOPULMONARY GMBH
Manufacturer AddressNEUE ROTTENBURGER STRASSE 37 HECHINGEN US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-06-07

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