BEUDAMED
    FDA Adverse Event Summary report: N

    AES ULTRA

    MDR report key: 1150143 · Received August 20, 2008

    Report

    Report Number
    1150143
    Date Received
    August 20, 2008
    Date of Event
    July 25, 2008
    Report Date
    August 20, 2008
    Manufacturer
    AES , INC
    Product Code
    CAE
    Report Source
    User Facility report
    Reporter Location
    CA, US

    Narratives

    Description of Event or Problem · 1

    NOTED MID-UPPER LIP SORE BLACKISH COLOR AFTER LMA REMOVED BY PHYSICIAN. THE AFFECTED SITE KEPT CLEAN AND DRY, ICE APPLIED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AES ULTRA LARYNGEAL MASK AIRWAY CAE AES , INC * *

    Patients

    Seq Age Sex Outcome Treatment
    1 79 YR