BEUDAMED
    FDA Adverse Event Other Summary report: N

    PRISMA CONTROL UNIT

    MDR report key: 975202 · Received February 7, 2007

    Report

    Report Number
    2087532-2007-00040
    Event Type
    Other
    Date Received
    February 7, 2007
    Date of Event
    November 23, 2006
    Report Date
    January 8, 2007
    Manufacturer
    GAMBRO DASCO
    Product Code
    FII
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PRISMA CONTROL UNIT INTENSIVE CARE HEMODIALYSIS FII GAMBRO DASCO PRISMA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 22 YR Other