FDA Adverse Event Injury Summary report: N

ARTERIAL POST W LUER LOCKS DW 480

MDR report key: 37993 · Received September 10, 1996

Report

Report Number
8030665-1996-00269
Event Type
Injury
Date Received
September 10, 1996
Report Date
August 22, 1996
Manufacturer
NMC MPD
Product Code
FJK
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
NO INFORMATION

Narratives

Description of Event or Problem · 1

ARTICLE ALLEGED: ALTHOUGH NOT DIRECTLY OBSERVED, IT WAS SPECULATED THAT HEMOLYTIC REACTION WERE CAUSED BY KINKED BLOODLINE WHEN UPON COMPLETION OF 4 HOURS OF DIALYSIS TREATMENT, COMPLAINTS OF ABDOMINAL PAIN, NAUSEA WERE EXPRESSED BY PT. COMPLAINTS OF THIS NATRUE WERE INVESTIGATED UNDER FIR 93015. PRODUCT#0392035 UNDER SAME COMPLAINT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ARTERIAL POST W LUER LOCKS DW 480 * FJK NMC MPD * UNK

Patients

Seq Age Sex Outcome Treatment
1 NO INFO Hospitalization