BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON-CONDUCTIVE ANESTHESIA CIRCUIT W/FILTER & BREATHING BAG

    MDR report key: 149242 · Received February 12, 1998

    Report

    Report Number
    MW1013001
    Event Type
    Malfunction
    Date Received
    February 12, 1998
    Date of Event
    February 10, 1998
    Report Date
    February 12, 1998
    Manufacturer
    KING SYSTEMS CORP.
    Product Code
    CAI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    LUER CONNECTOR ON ADULT CIRCLE CIRCUIT, PULLS OUT WHEN TRYING TO REMOVE CAP. (LUER CONNECTOR FOR CO2) CLOSED SYS COULD BECOME COMPROMISED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NON-CONDUCTIVE ANESTHESIA CIRCUIT W/FILTER & BREATHING BAG ANESTHESIA CIRCUIT CAI KING SYSTEMS CORP. NA 0804J7

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other