BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DIALYSIS GRAFT

    MDR report key: 20268 · Received March 14, 1995

    Report

    Report Number
    MW1005437
    Event Type
    Injury
    Date Received
    March 14, 1995
    Date of Event
    February 8, 1995
    Report Date
    February 27, 1995
    Manufacturer
    UNKNOWN
    Product Code
    FIQ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    LA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    INFECTED DIALYSIS GRAFT OF LEFT THIGH. REMOVED AND REPLACED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DIALYSIS GRAFT Implant DIALYSIS GRAFT FIQ UNKNOWN NI NI

    Patients

    Seq Age Sex Outcome Treatment
    1 72 YR Hospitalization