FDA Adverse Event Malfunction Summary report: N

1722028-2013-01307

MDR report key: 3250864 · Received July 29, 2013

Report

Report Number
1722028-2013-01307
Event Type
Malfunction
Date Received
July 29, 2013
Date of Event
June 8, 2013
Report Date
June 21, 2013
Manufacturer
GAMBRO BCT, INC.
PMA / PMN Number
BK970005
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
HEALTH PROFESSIONAL
Health Professional
Yes

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other