BEUDAMED
    FDA Adverse Event Injury Summary report: N

    FMC VENOUS BLOODLINE

    MDR report key: 160629 · Received March 31, 1998

    Report

    Report Number
    160629
    Event Type
    Injury
    Date Received
    March 31, 1998
    Date of Event
    March 25, 1998
    Report Date
    March 27, 1998
    Manufacturer
    FMC
    Product Code
    MPB
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    LA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    VENOUS BLOODLINE USED FOR HEMODIALYSIS DISCONNECTED FROM MED-COMP TESIO CATHETER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FMC VENOUS BLOODLINE DIALYSIS VENOUS BLOODLINE MPB FMC 037317-5 R7P114

    Patients

    Seq Age Sex Outcome Treatment
    1 59 YR Life Threatening