BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    2183477-1998-00001

    MDR report key: 168098 · Received May 14, 1998

    Report

    Report Number
    2183477-1998-00001
    Event Type
    Malfunction
    Date Received
    May 14, 1998
    Date of Event
    January 23, 1998
    Report Date
    May 1, 1998
    Manufacturer
    ESCALON MEDICAL
    Product Code
    KZE
    Report Source
    Manufacturer report

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KZE ESCALON MEDICAL VFI-10

    Patients

    Seq Age Sex Outcome Treatment
    1 TR8170-11 VFS-100 TUBING SET (LOT 9609251146)