BEUDAMED
    FDA Adverse Event Other Summary report: N

    LIFE PULSE PATIENT BREATHING CIRCUIT

    MDR report key: 156893 · Received March 13, 1998

    Report

    Report Number
    1719232-1998-00003
    Event Type
    Other
    Date Received
    March 13, 1998
    Date of Event
    November 1, 1997
    Report Date
    March 13, 1998
    Manufacturer
    BUNNELL, INC.
    Product Code
    BZO
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    CUSTOMER SENT DEVICE ACCESSORY WITH MEDWATCH REPORT DESCRIBING "NO SPECIFIC INFO COULD NOT BE OBTAINED. ONLY INFO WAS THAT EXPERIENCED PROBLEM DURING USE."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIFE PULSE PATIENT BREATHING CIRCUIT VENTILATOR ACCESSORY BZO BUNNELL, INC. * 7A0015

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other