FDA Adverse Event Malfunction Summary report: N

NEPHROS

MDR report key: 8652580 · Received May 29, 2019

Report

Report Number
3003337893-2019-00001
Event Type
Malfunction
Date Received
May 29, 2019
Date of Event
April 29, 2019
Report Date
May 29, 2019
Manufacturer
NEPHROS
Product Code
NHV
PMA / PMN Number
K153084
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION IS UNDERWAY. WE ARE AWAITING FINAL INVESTIGATION RESULTS AND LABORATORY RESULTS. UPON COMPLETION, THE INFORMATION WILL BE REVIEWED AND THE FINDING PUBLISHED. ANTICIPATED COMPLETION DATE: JUNE 07TH 2019.

Description of Event or Problem · 1

THE INVESTIGATION IS CURRENTLY UNDERWAY. THE MANUFACTURE WAS INFORMED THAT THE CUSTOMER EXPERIENCED A POSITIVE LEGIONELLA RESULT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
445150 NEPHROS S100 NHV NEPHROS S100 PI17/0180

Patients

Seq Age Sex Outcome Treatment
1