FDA Adverse Event Other Summary report: N

BAXTER BM25

MDR report key: 556371 · Received August 24, 2004

Report

Report Number
MW1033422
Event Type
Other
Date Received
August 24, 2004
Date of Event
August 20, 2004
Report Date
August 24, 2004
Manufacturer
BAXTER
Product Code
FII
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
TX, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

INVESTIGATION ONGOING-RESULTS PENDING. ADVERSE EVENT DUE TO POSSIBLE MACHINE MALFUNCTION RELATED TO TRANSDUCER FAILURE. REPORT WILL BE AMENDED AS INDICATED UPON COMPLETION OF INVESTIGATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BAXTER BM25 CONTINUOUS VENO-VENOUS HEMOFILTRATION UNIT FII BAXTER BM25 *

Patients

Seq Age Sex Outcome Treatment
1 4 MO Other