BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ARGON PATIENT MONITORING SET

    MDR report key: 116151 · Received August 22, 1997

    Report

    Report Number
    1625425-1997-00067
    Event Type
    Malfunction
    Date Received
    August 22, 1997
    Manufacturer
    MAXXIM MEDICAL, INC.
    Product Code
    FLN
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    TUBING DISCONNECTED FROM HUB AND STOPCOCK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ARGON PATIENT MONITORING SET 6" EXTENSION LINE W/STOPCOCK FLN MAXXIM MEDICAL, INC. NA 97020867

    Patients

    Seq Age Sex Outcome Treatment
    1 *
    2