FDA Adverse Event Malfunction Summary report: N

9616026-2006-00239

MDR report key: 728523 · Received June 22, 2006

Report

Report Number
9616026-2006-00239
Event Type
Malfunction
Date Received
June 22, 2006
Product Code
FII
PMA / PMN Number
k041005
Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

NO PT INJURY WAS REPORTED. A GAMBRO FIELD REP EVALUATED THE MACHINE AN FOUND THAT DIALYSATE SCALE READ 0 GRAMS AT 0 GRAMS AND 3975 GRAMS AT 5200 GRAMS. THE TECH CALIBRATED AND VERIFIED ALL SCALES; RAN 1/2 HR SIMULATED RUN WITH NO PROBLEMS OR ALARMS; ASKED FOR 100 GRAMS REMOVED AND 103 GRAMS WAS SHOWN ON SCREEN. 510(K)# IS K041005

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 FII

Patients

Seq Age Sex Outcome Treatment
1