MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 08 report with the FDA on 2006-11-16 for NIPRO SET BLOOD TUBING SET manufactured by .
| Report Number | 1056186-2006-00011 |
| MDR Report Key | 980694 |
| Report Source | 08 |
| Date Received | 2006-11-16 |
| Date of Report | 2006-10-20 |
| Date Mfgr Received | 2006-10-20 |
| Device Manufacturer Date | 2006-04-01 |
| Date Added to Maude | 2008-01-18 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 0 |
| Initial Report to FDA | 0 |
| Report to FDA | 3 |
| Event Location | 0 |
| Manufacturer Contact | JESSICA OSWALD |
| Manufacturer Street | 3361 ENTERPRISE WAY |
| Manufacturer City | MIRAMAR FL 33025 |
| Manufacturer Country | US |
| Manufacturer Postal | 33025 |
| Manufacturer Phone | 9542410870 |
| Manufacturer G1 | NIPRO THAILAND |
| Manufacturer Street | 10/2 MOO8, BANGNOMKO |
| Manufacturer City | SENA AYUTHAYA 13110 |
| Manufacturer Country | TH |
| Manufacturer Postal Code | 13110 |
| Single Use | 3 |
| Remedial Action | IN |
| Previous Use Code | 3 |
| Removal Correction Number | NA |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | NIPRO SET BLOOD TUBING SET |
| Generic Name | BLOODLINE |
| Product Code | FIB |
| Date Received | 2006-11-16 |
| Returned To Mfg | 2006-11-03 |
| ID Number | NA |
| Device Expiration Date | 2011-03-05 |
| Device Availability | R |
| Device Eval'ed by Mfgr | Y |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 892353 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2006-11-16 |