Brand Name | AF-180 |
Type of Device | HOLLOW FIBER DIALYZER |
Baseline Brand Name | AF-180 |
Baseline Generic Name | ALTHANE DIALYZER |
Baseline Catalogue Number | 238018 |
Baseline Model Number | AF-180 |
Baseline Device Family | ALTRAFLUX |
Baseline Device 510(K) Number | K992573 |
Baseline Device PMA Number | |
Baseline Shelf Life Information |
|
Baseline Preamendment? |
No
|
Transitional? |
No
|
510(K) Exempt? |
No
|
Shelf Life(Months) | 36 |
Date First Marketed | 01/18/2000 |
Manufacturer (Section F) |
ALTHIN MEDICAL, AN AFFILIATE OF BHC |
fridhemsvagen 15 |
p.o. box 39 |
ronneby |
SWEDEN
S-372 21
|
|
Manufacturer (Section D) |
ALTHIN MEDICAL, AN AFFILIATE OF BHC |
fridhemsvagen 15 |
p.o. box 39 |
ronneby |
SWEDEN
S-372 21
|
|
Manufacturer Contact |
noemi
romero-kondos
|
one baxter parkway |
deerfield
, IL 60015 |
(847)
948
-3796
|
|
Device Event Key | 383893 |
MDR Report Key | 394882 |
Event Key | 373064 |
Report Number | 1423500-2002-00630 |
Device Sequence Number | 1 |
Product Code | KDI |
Report Source |
Manufacturer
|
Source Type |
Company Representative,Other
|
Reporter Occupation |
Other
|
Remedial Action |
Recall
|
Type of Report
| Initial |
Report Date |
04/19/2002 |
1 Device Was Involved in the Event | |
1 Patient Was Involved in the Event | |
Date FDA Received | 05/15/2002 |
Is This An Adverse Event Report? |
Yes
|
Is This A Product Problem Report? |
No
|
Device Operator |
Health Professional
|
Device MODEL Number | AF-180 |
Device Catalogue Number | 238018 |
Device LOT Number | NA01 |
Was Device Available For Evaluation? |
No
|
Is The Reporter A Health Professional? |
No
|
Was the Report Sent to FDA? |
No
|
Date Manufacturer Received | 04/19/2002 |
Was Device Evaluated By Manufacturer? |
Device Not Returned To Manufacturer
|
Is The Device Single Use? |
Yes
|
Is the Device an Implant? |
No
|
Is this an Explanted Device? |
|
Type of Device Usage |
Unkown
|
Removal/Correction Number | 1423500-10/16/01-002R |
|
|