FDA Adverse Event Other Summary report: N

*

MDR report key: 547982 · Received September 9, 2004

Report

Report Number
9616240-2004-00014
Event Type
Other
Date Received
September 9, 2004
Date of Event
August 11, 2004
Report Date
August 12, 2004
Manufacturer
GAMBRO DASCO
Product Code
FII
Removal / Correction Number
NA
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
INVALID DATA

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 * HEMODIALYSIS EQUIPMENT FII GAMBRO DASCO PHOENIX NA

Patients

Seq Age Sex Outcome Treatment
1 *