BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ASPIRATOR III

    MDR report key: 1180443 · Received September 29, 2008

    Report

    Report Number
    MW5008471
    Event Type
    Malfunction
    Date Received
    September 29, 2008
    Date of Event
    September 10, 2008
    Report Date
    September 29, 2008
    Manufacturer
    WELLS JOHNSON COMPANY
    Product Code
    MUU
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    SMOKE CAME FROM THE FANS OPERATING IN THE LIPOSUCTION MACHINE. THE MACHINE WAS UNPLUGGED AND TAKEN OUT IN THE HALL. THERE WAS NO INJURY TO THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ASPIRATOR III SURGICAL ASPIRATOR MUU WELLS JOHNSON COMPANY

    Patients

    Seq Age Sex Outcome Treatment
    1