BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TERUMO AVF SET

    MDR report key: 295146 · Received September 8, 2000

    Report

    Report Number
    1118880-2000-00004
    Event Type
    Malfunction
    Date Received
    September 8, 2000
    Date of Event
    July 17, 2000
    Report Date
    August 10, 2000
    Manufacturer
    TERUMO MEDICAL CORPORATION
    Product Code
    FIE
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TERUMO AVF SET AV FISTULA NEEDLE SET FIE TERUMO MEDICAL CORPORATION NA YG26

    Patients

    Seq Age Sex Outcome Treatment
    1