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 |