BEUDAMED
    FDA Adverse Event Death Summary report: N

    *

    MDR report key: 509830 · Received January 28, 2004

    Report

    Report Number
    1718850-2004-00001
    Event Type
    Death
    Date Received
    January 28, 2004
    Date of Event
    December 11, 2003
    Manufacturer
    DIDECO SPA
    Product Code
    DTZ
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report
    Reporter Occupation
    INVALID DATA

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * MEMBRANE OXYGENATOR WITH VENOUS AND CARDIOTOMY RESERVOIR DTZ DIDECO SPA NA *

    Patients

    Seq Age Sex Outcome Treatment
    1 *