BEUDAMED
    FDA Adverse Event Death Summary report: N

    PRESSURE INFUSION BAGS

    MDR report key: 1578953 · Received January 13, 2010

    Report

    Report Number
    1721504-2010-00010
    Event Type
    Death
    Date Received
    January 13, 2010
    Report Date
    December 14, 2009
    Manufacturer
    MERIT MEDICAL SYSTEMS, INC.
    Product Code
    KZD
    PMA / PMN Number
    EXEMPT
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OR, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    DEVICE EVAL - DEVICE IN QUESTION HAS NOT BEEN RETURNED FOR EVAL. CONCLUSION - A FOLLOW-UP REPORT WILL BE SUBMITTED IF ADD'L INFO IS REC'D.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PRESSURE INFUSION BAGS INFUSOR, PRESSURE, FOR IV BAGS KZD MERIT MEDICAL SYSTEMS, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1