FDA Adverse Event Other Summary report: N

MILLEX-GS

MDR report key: 2948083 · Received October 2, 2006

Report

Report Number
1216103-2006-00001
Event Type
Other
Date Received
October 2, 2006
Date of Event
August 1, 2006
Report Date
October 2, 2006
Manufacturer
MILLIPORE
Product Code
FPB
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CONCLUSION: MILLIPORE IS NOT PLANNING A CORRECTIVE ACTION AT THIS TIME. HOWEVER, A SAMPLE BOX OF MILLIPORE DUALEX PLUS TRANSDUCER PROTECTOR FILTERS (CAT#SLGVS25PS) WAS FORWARDED TO SETON MED CTR FOR EVAL.

Description of Event or Problem · 1

MILLEX-MILLIPORE MEDICAL GRADE, STERILE, 0.22MM FILTER (CAT#SLGSM33SS) IS ALLOWING BLOOD TO PASS THROUGH THE TRANSDUCER OF A KIDNEY DIALYSIS MACHINE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MILLEX-GS STERILIZING SYRINGE FILTER FPB MILLIPORE SLGSM33SS R6CN48008

Patients

Seq Age Sex Outcome Treatment
1