BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TERUMO TAF175 (HF/CR/1.75/M)

    MDR report key: 114512 · Received April 24, 1996

    Report

    Report Number
    2243621-1996-04596
    Event Type
    Injury
    Date Received
    April 24, 1996
    Date of Event
    March 7, 1994
    Report Date
    January 4, 1996
    Manufacturer
    TERUMO CORP
    Product Code
    FJI
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DR, FACILITY ALLEGES DIALYZER CLOTTED. ECL < 100CC'S. NO PT INJURY. NO FURTHER COMPLICATIONS WERE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TERUMO TAF175 (HF/CR/1.75/M) DIALYZER FJI TERUMO CORP * *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention