BEUDAMED
    FDA Adverse Event Injury Summary report: N

    QUADROX-I ADULT

    MDR report key: 14755658 · Received April 5, 2012

    Report

    Report Number
    8010762-2012-00006
    Event Type
    Injury
    Date Received
    April 5, 2012
    Date of Event
    March 7, 2012
    Report Date
    March 7, 2012
    Manufacturer
    MAQUET CARDIOPULMONARY AG
    Product Code
    MAQ
    PMA / PMN Number
    K082117
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 QUADROX-I ADULT MAQ MAQUET CARDIOPULMONARY AG NA 70073652

    Patients

    Seq Age Sex Outcome Treatment
    1 NI Unknown Disability