FDA Adverse Event
Injury
Summary report: N
FRESENIUS MEDICAL CARE
MDR report key: 181107
·
Received August 3, 1998
Report
- Report Number
- 181107
- Event Type
- Injury
- Date Received
- August 3, 1998
- Date of Event
- June 30, 1998
- Report Date
- July 8, 1998
- Manufacturer
- FMC
- Product Code
- FII
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- TX, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
TREATMENT INITIATED INCIDENT DEVELOPED CHEST PAIN V HYPOTENSION AT 1 1/2 HRS. PT TOOK OWN NITROGLYCERIN 1 HR LATER DEVELOPED SEVERE QUESTIONABLE CHEST PAIN SEEN BY DR AT UNIT SENT TO ER VIA ALL AMBULANCE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | FRESENIUS MEDICAL CARE | IPM | FII | FMC | 2008 E. | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 60 YR | Hospitalization| O| R |