FDA Adverse Event
Injury
Summary report: N
PERFORMER CPB SUPPORT SYSTEM
MDR report key: 741453
·
Received July 24, 2000
Report
- Report Number
- 3003793891-2006-00002
- Event Type
- Injury
- Date Received
- July 24, 2000
- Manufacturer
- RAND S.R.L.
- Product Code
- DTQ
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA
- Reporter Occupation
- OTHER
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PERFORMER CPB SUPPORT SYSTEM | CPB SUPPORT SYSTEM | DTQ | RAND S.R.L. | R5100052 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Required Intervention |