FDA Adverse Event Injury Summary report: N

ARTERIAL POST W LUER LOCKS DW 480

MDR report key: 38030 · Received September 10, 1996

Report

Report Number
8030665-1996-00271
Event Type
Injury
Date Received
September 10, 1996
Report Date
August 23, 1996
Manufacturer
NMC MPD
Product Code
FJK
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

ARTICLE ALLEGED: COMPLAINT OF BACK PAIN, NAUSEA, VOMNITING, PANCREATITIS WERE ESPRESSED BY PT AFTER 4 HOURS OF DIALYSIS TREATMENT. ALTHOUGH NOT DIRECTLY OBSERVED, IT WAS SPECULATED THAT HEMOLYTIC REACTIONS WERE CAUSED BY KINKED BLOOD LINES. COMPLAINTS OF THIS NATURE 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 * *

Patients

Seq Age Sex Outcome Treatment
1 NO INFO Hospitalization