FDA Adverse Event
Malfunction
Summary report: N
ORGANON TEK
MDR report key: 233277
·
Received July 23, 1999
Report
- Report Number
- MW1016812
- Event Type
- Malfunction
- Date Received
- July 23, 1999
- Date of Event
- July 23, 1999
- Report Date
- July 23, 1999
- Manufacturer
- SORB TECHNOLOGY, INC.
- Product Code
- KDI
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- IL, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
ADDITIONAL INFO RECEIVED FROM MFR ON 07/26/1999: THE DIALYSIS BUSINESS,PREVIOUSLY OWNED BY ORGANON TEKNIKA, HAS BEEN SOLD TO SORB TECHNOLOGY, INC. PO DRAWER 1217, WEST POINT, MS 38773.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ORGANON TEK | PORTABLE DIALYSIS MACHINE | KDI | SORB TECHNOLOGY, INC. | 2000 | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * | Other |