FDA Adverse Event
Malfunction
Summary report: N
HSR-4000
MDR report key: 177711
·
Received June 29, 1998
Report
- Report Number
- 6000002-1998-00152
- Event Type
- Malfunction
- Date Received
- June 29, 1998
- Date of Event
- May 29, 1998
- Report Date
- June 1, 1998
- Manufacturer
- BAXTER HEALTHCARE CORP
- Product Code
- DTN
- Product Problem
- Yes
- Report Source
- Manufacturer report
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | HSR-4000 | VENOUS RESERVOIR | DTN | BAXTER HEALTHCARE CORP | HSR-4000 | PP7D2836 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN |