BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ARTERIAL BLOOD LINE

    MDR report key: 36342 · Received August 29, 1996

    Report

    Report Number
    MW1009826
    Event Type
    Malfunction
    Date Received
    August 29, 1996
    Date of Event
    August 19, 1996
    Report Date
    August 21, 1996
    Manufacturer
    RENAL DIV. BAXTER HEALTHCARE CORP.
    Product Code
    FJK
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER CAREGIVERS

    Narratives

    Description of Event or Problem · 1

    DEFECTIVE ARTERIAL LINE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ARTERIAL BLOOD LINE ARTERIAL BLOOD LINE FJK RENAL DIV. BAXTER HEALTHCARE CORP. 5M4283M UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 *