BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CAPD SOLUTION TRANSFER SET (SHORT) FOR UV-FLASH

    MDR report key: 318033 · Received February 23, 2001

    Report

    Report Number
    1423500-2001-00156
    Event Type
    Malfunction
    Date Received
    February 23, 2001
    Date of Event
    January 17, 2001
    Report Date
    January 23, 2001
    Manufacturer
    BAXTER HEALTHCARE CORP.
    Product Code
    KDJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    BAXTER JAPAN REPORTS PINHOLE LEAK IN TUBING AT THE OCCLUDER FEET OF A TRANSFER SET. NO PT INJURY OR MEDICAL INTERVENTION REQUIRED PER AFFILIATE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    7519 CAPD SOLUTION TRANSFER SET (SHORT) FOR UV-FLASH TRANSFER SET KDJ BAXTER HEALTHCARE CORP. NA NA01

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN