BEUDAMED
    FDA Adverse Event Death Summary report: N

    AF-150

    MDR report key: 437106 · Received January 7, 2003

    Report

    Report Number
    1423500-2002-01669
    Event Type
    Death
    Date Received
    January 7, 2003
    Date of Event
    December 1, 2002
    Report Date
    December 11, 2002
    Manufacturer
    ALTHIN MEDICAL, AN AFFILIATE OF BHC
    Product Code
    KDI
    Removal / Correction Number
    1423500-10/16/01-002-R
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MS, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    DEATH OF PT "AFTER RECEIVING DIALYSIS ON A DIALYZER CONTAINING A BAXTER FILTER". NO ADDITIONAL INFO IS AVAILABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AF-150 HOLLOW FIBER DIALYZER KDI ALTHIN MEDICAL, AN AFFILIATE OF BHC AF-150 NA01

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Death