FDA Adverse Event Malfunction Summary report: N

*

MDR report key: 1160922 · Received July 11, 2008

Report

Report Number
9611369-2008-00560
Event Type
Malfunction
Date Received
July 11, 2008
Manufacturer
GAMBRO DIAYLZATOREN GMBH
Product Code
KDI
PMA / PMN Number
k010667
Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

INTERNAL BLOOD LEAKS CAN OCCUR DUE TO DAMAGE OF THE HOLLOW FIBERS. NO SAMPLE IS AVAILABLE FOR INVESTIGATION. NO FURTHER INFO IS EXPECTED FOR THIS SPECIFIC EVENT AND THE CASE IS CONSIDERED CLOSED. THE ROOT CAUSE OF THIS EVENT CANNOT BE DETERMINED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 * * KDI GAMBRO DIAYLZATOREN GMBH * *

Patients

Seq Age Sex Outcome Treatment
1