BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BAXTER

    MDR report key: 270597 · Received March 15, 2000

    Report

    Report Number
    270597
    Event Type
    Injury
    Date Received
    March 15, 2000
    Date of Event
    February 8, 2000
    Report Date
    February 8, 2000
    Manufacturer
    BAXTER HEALTHCARE RENAL DIV.
    Product Code
    FJI
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CRACKED VENOUS HEADER ON CT190 RESULTING IN 150 TO 200CC BLOOD LOSS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BAXTER CT190 DIALYZER FJI BAXTER HEALTHCARE RENAL DIV. CT 190 A99J07X

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR Life Threatening