BEUDAMED
    FDA Adverse Event Other Summary report: N

    DIAPACT CRRT KIT

    MDR report key: 1001825 · Received January 23, 2008

    Report

    Report Number
    2523676-2007-00117
    Event Type
    Other
    Date Received
    January 23, 2008
    Date of Event
    November 16, 2007
    Report Date
    January 10, 2008
    Manufacturer
    B. BRAUN MEDICAL, INC.
    Product Code
    FII
    PMA / PMN Number
    k952631
    Removal / Correction Number
    2523676-12/12/2007-005R
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    INVALID DATA

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DIAPACT CRRT KIT TUBING SET FII B. BRAUN MEDICAL, INC. NA 07G04

    Patients

    Seq Age Sex Outcome Treatment
    1 Other