BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HEMOGLIDE

    MDR report key: 512302 · Received February 13, 2004

    Report

    Report Number
    1720496-2004-00026
    Event Type
    Injury
    Date Received
    February 13, 2004
    Date of Event
    December 4, 2003
    Report Date
    January 20, 2004
    Manufacturer
    BARD ACCESS SYSTEMS
    Product Code
    LFJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    ND, US
    Reporter Occupation
    INVALID DATA

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HEMOGLIDE IMPLANTED BLOOD ACCESS DEVICE LFJ BARD ACCESS SYSTEMS UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 *