BEUDAMED
    FDA Adverse Event Other Summary report: N

    FMC ARTERIAL LINE

    MDR report key: 191212 · Received October 8, 1998

    Report

    Report Number
    191212
    Event Type
    Other
    Date Received
    October 8, 1998
    Date of Event
    September 2, 1998
    Report Date
    September 12, 1998
    Manufacturer
    FMC
    Product Code
    FJK
    Report Source
    User Facility report
    Reporter Location
    LA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    SEPARATION OF ARTERIAL DIALYSIS BLOOD TUBING AT POST PUMP SEGMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FMC ARTERIAL LINE DIALYSIS BLOOD TUBING FJK FMC 7630 R8E022

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other