BEUDAMED
    FDA Adverse Event Death Summary report: N

    DIALOG

    MDR report key: 864402 · Received June 12, 2007

    Report

    Report Number
    864402
    Event Type
    Death
    Date Received
    June 12, 2007
    Date of Event
    June 4, 2007
    Report Date
    June 11, 2007
    Manufacturer
    B. BRAUN
    Product Code
    FII
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PATIENT DIED DURING DIALYSIS TREATMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DIALOG DIALYSIS MACHINE FII B. BRAUN DIALOG 26025

    Patients

    Seq Age Sex Outcome Treatment
    1 88 YR Death