Brand Name | SET, BLOOD TRANSFUSION |
Type of Device | SET, BLOOD TRANSFUSION |
Manufacturer (Section D) |
|
MDR Report Key | 9480337 |
MDR Text Key | 171810890 |
Report Number | MW5091700 |
Device Sequence Number | 1 |
Product Code |
BRZ
|
Combination Product (y/n) | Y |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Risk Manager
|
Type of Report
| Initial |
Report Date |
12/13/2019 |
4 Devices were Involved in the Event: |
1
2
3
4
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
No Information
|
Device Expiration Date | 02/10/2023 |
Device Lot Number | 158817 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
No
|
Initial Date Manufacturer Received |
Not provided |
Initial Date FDA Received | 12/16/2019 |
Was Device Evaluated by Manufacturer? |
No Information
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
Patient Age | 13 DA |
|
|