BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GAMBRO CARTRIDGE BLOOD SET

    MDR report key: 1081645 · Received July 10, 2008

    Report

    Report Number
    2087532-2008-00065
    Event Type
    Injury
    Date Received
    July 10, 2008
    Date of Event
    March 6, 2008
    Report Date
    June 10, 2008
    Manufacturer
    GAMBRO RENAL PRODUCTS S.A. DE C.V.
    Product Code
    FJK
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    MT, US
    Reporter Occupation
    NURSE

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GAMBRO CARTRIDGE BLOOD SET BLOOD TUBING SET FJK GAMBRO RENAL PRODUCTS S.A. DE C.V. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR Hospitalization| R