FDA Adverse Event
Malfunction
Summary report: N
TRIMA ACCEL
MDR report key: 3250835
·
Received July 29, 2013
Report
- Report Number
- 1722028-2013-01306
- Event Type
- Malfunction
- Date Received
- July 29, 2013
- Date of Event
- June 4, 2013
- Report Date
- June 21, 2013
- Manufacturer
- TERUMO BCT
- Product Code
- GKT
- PMA / PMN Number
- BK970005
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- HEALTH PROFESSIONAL
- Health Professional
- Yes
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 354784 | TRIMA ACCEL | TRIMA ACCEL PLATELET, PLASMA SET, | GKT | TERUMO BCT |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | Other |